Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.47 / $4,048.00 / $8,451.00	Facility		$1,443.47	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.65 / $1,402.91 / $2,027.42	Professional		$1,261.65	$1,402.91	$2,027.42
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 $1,386.49 / $1,438.81 / $1,438.81	Professional		$1,386.49	$1,438.81	$1,438.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.24 / $1,576.24 / $1,576.24	Facility		$1,576.24	$1,576.24	$1,576.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.08 / $1,741.87 / $2,970.77	Professional		$1,333.08	$1,741.87	$2,970.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.05 / $2,173.01 / $2,801.72	Professional		$1,622.05	$2,173.01	$2,801.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,261.65 / $1,521.44 / $5,992.00	Professional		$1,261.65	$1,521.44	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.20 / $1,492.20 / $3,187.20	Professional		$1,492.20	$1,492.20	$3,187.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,576.24 / $1,576.24 / $1,576.24	Facility		$1,576.24	$1,576.24	$1,576.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.08 / $1,765.82 / $3,134.34	Professional		$1,333.08	$1,765.82	$3,134.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,369.02 / $1,369.02 / $1,394.17	Facility		$1,369.02	$1,369.02	$1,394.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,329.85 / $1,373.05 / $1,443.91	Professional		$1,329.85	$1,373.05	$1,443.91
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 $1,323.32 / $1,718.00 / $2,675.34	Professional		$1,323.32	$1,718.00	$2,675.34