Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,948.01 / $2,171.75 / $3,116.82	Professional		$1,948.01	$2,171.75	$3,116.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,144.89 / $2,225.83 / $2,225.83	Professional		$2,144.89	$2,225.83	$2,225.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $2,447.00 / $2,447.00	Facility		$2,447.00	$2,447.00	$2,447.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,057.21 / $2,725.07 / $4,317.97	Professional		$2,057.21	$2,725.07	$4,317.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.25 / $3,351.72 / $4,320.33	Professional		$2,501.25	$3,351.72	$4,320.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,948.01 / $2,258.04 / $6,862.00	Professional		$1,948.01	$2,258.04	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.50 / $2,635.50 / $4,407.70	Professional		$2,635.50	$2,635.50	$4,407.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $2,447.00 / $2,447.00	Facility		$2,447.00	$2,447.00	$2,447.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.71 / $2,731.70 / $4,594.32	Professional		$2,081.71	$2,731.70	$4,594.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,117.19 / $2,117.19 / $3,092.64	Facility		$2,117.19	$2,117.19	$3,092.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,053.75 / $2,126.46 / $3,092.64	Professional		$2,053.75	$2,126.46	$3,092.64
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 $2,025.58 / $2,624.92 / $4,206.85	Professional		$2,025.58	$2,624.92	$4,206.85