Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.89 / $2,747.00 / $8,247.00	Facility		$1,273.89	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.23 / $1,361.80 / $1,871.79	Professional		$1,233.23	$1,361.80	$1,871.79
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 $1,356.00 / $1,407.18 / $1,407.18	Professional		$1,356.00	$1,407.18	$1,407.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Facility		$1,534.81	$1,534.81	$1,534.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.25 / $1,603.36 / $2,725.55	Professional		$1,159.25	$1,603.36	$2,725.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.45 / $2,164.48 / $2,771.32	Professional		$1,604.45	$2,164.48	$2,771.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,233.23 / $1,426.43 / $5,958.00	Professional		$1,233.23	$1,426.43	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.20 / $1,385.20 / $2,817.10	Professional		$1,385.20	$1,385.20	$2,817.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Facility		$1,534.81	$1,534.81	$1,534.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $1,631.37 / $2,746.11	Professional		$1,185.08	$1,631.37	$2,746.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,206.78 / $1,333.98 / $1,333.98	Facility		$1,206.78	$1,333.98	$1,333.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,206.78 / $1,333.98 / $1,416.64	Professional		$1,206.78	$1,333.98	$1,416.64
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 $1,167.05 / $1,609.22 / $2,800.74	Professional		$1,167.05	$1,609.22	$2,800.74