Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.94 / $1,297.94 / $1,603.43	Facility		$1,297.94	$1,297.94	$1,603.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $1,557.88 / $2,325.42	Professional		$1,241.83	$1,557.88	$2,325.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,590.30 / $1,820.50 / $3,344.90	Professional		$1,590.30	$1,820.50	$3,344.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,934.21 / $3,209.60	Professional		$1,350.82	$1,934.21	$3,209.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.76 / $2,453.92 / $3,200.23	Professional		$1,852.76	$2,453.92	$3,200.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,297.94 / $1,297.94 / $1,603.43	Facility		$1,297.94	$1,297.94	$1,603.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,265.17 / $1,614.85 / $3,226.09	Professional		$1,265.17	$1,614.85	$3,226.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,207.19 / $2,207.19 / $3,842.30	Professional		$2,207.19	$2,207.19	$3,842.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,950.37 / $3,293.69	Professional		$1,350.82	$1,950.37	$3,293.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,257.99 / $1,471.05 / $2,287.92	Facility		$1,257.99	$1,471.05	$2,287.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,257.99 / $1,496.77 / $1,615.55	Professional		$1,257.99	$1,496.77	$1,615.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,586.19 / $2,063.60 / $3,209.52	Professional		$1,586.19	$2,063.60	$3,209.52