Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,680.00 / $9,676.00	Facility		$1,499.00	$4,680.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,980.08 / $2,191.94 / $3,215.38	Professional		$1,980.08	$2,191.94	$3,215.38
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 $2,198.91 / $2,385.92 / $4,090.22	Professional		$2,198.91	$2,385.92	$4,090.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.91 / $2,490.91 / $2,490.91	Facility		$2,490.91	$2,490.91	$2,490.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,087.56 / $2,740.61 / $4,560.91	Professional		$2,087.56	$2,740.61	$4,560.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,584.44 / $3,510.49 / $4,464.03	Professional		$2,584.44	$3,510.49	$4,464.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,079.00 / $10,527.00	Facility		$1,301.00	$5,079.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,980.08 / $2,312.55 / $9,462.00	Professional		$1,980.08	$2,312.55	$9,462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,666.60 / $2,666.60 / $4,495.39	Professional		$2,666.60	$2,666.60	$4,495.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,490.91 / $2,490.91 / $2,490.91	Facility		$2,490.91	$2,490.91	$2,490.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.56 / $2,769.94 / $4,657.85	Professional		$2,087.56	$2,769.94	$4,657.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,146.48 / $2,146.48 / $2,588.71	Facility		$2,146.48	$2,146.48	$2,588.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,072.21 / $2,165.64 / $2,588.71	Professional		$2,072.21	$2,165.64	$2,588.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,037.75 / $2,693.63 / $4,495.00	Professional		$2,037.75	$2,693.63	$4,495.00