Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.01 / $3,830.00 / $8,240.00	Facility		$1,174.01	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.12 / $1,142.64 / $1,657.23	Professional		$1,018.12	$1,142.64	$1,657.23
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 $1,133.33 / $1,223.81 / $2,076.19	Professional		$1,133.33	$1,223.81	$2,076.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.88 / $1,280.88 / $1,280.88	Facility		$1,280.88	$1,280.88	$1,280.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.25 / $1,431.04 / $2,324.00	Professional		$1,092.25	$1,431.04	$2,324.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.47 / $1,813.49 / $2,308.44	Professional		$1,336.47	$1,813.49	$2,308.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,174.01 / $4,597.00 / $8,404.00	Facility		$1,174.01	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,018.12 / $1,286.00 / $5,569.58	Professional		$1,018.12	$1,286.00	$5,569.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.60 / $1,513.60 / $2,305.19	Professional		$1,513.60	$1,513.60	$2,305.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.88 / $1,280.88 / $1,280.88	Facility		$1,280.88	$1,280.88	$1,280.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.25 / $1,443.39 / $2,351.87	Professional		$1,092.25	$1,443.39	$2,351.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,105.09 / $1,105.09 / $1,391.51	Facility		$1,105.09	$1,105.09	$1,391.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,068.85 / $1,112.86 / $1,391.51	Professional		$1,068.85	$1,112.86	$1,391.51
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 $1,096.88 / $1,425.94 / $2,259.60	Professional		$1,096.88	$1,425.94	$2,259.60