Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.24 / $3,830.00 / $8,240.00	Facility		$1,212.24	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.10 / $1,179.01 / $1,711.49	Professional		$1,051.10	$1,179.01	$1,711.49
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 $1,170.44 / $1,264.06 / $2,144.56	Professional		$1,170.44	$1,264.06	$2,144.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,322.60	Facility		$1,322.60	$1,322.60	$1,322.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.97 / $1,479.29 / $2,391.54	Professional		$1,127.97	$1,479.29	$2,391.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.43 / $1,872.85 / $2,384.39	Professional		$1,380.43	$1,872.85	$2,384.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,212.24 / $4,597.00 / $8,404.00	Facility		$1,212.24	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,051.10 / $1,311.67 / $5,751.83	Professional		$1,051.10	$1,311.67	$5,751.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.80 / $1,636.80 / $2,383.90	Professional		$1,636.80	$1,636.80	$2,383.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,322.60	Facility		$1,322.60	$1,322.60	$1,322.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.97 / $1,490.79 / $2,429.83	Professional		$1,127.97	$1,490.79	$2,429.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,140.26 / $1,140.26 / $1,417.99	Facility		$1,140.26	$1,140.26	$1,417.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.06 / $1,148.08 / $1,417.99	Professional		$1,103.06	$1,148.08	$1,417.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $7,000.00 / $22,992.86	Facility		$2,468.00	$7,000.00	$22,992.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.85 / $1,483.91 / $2,364.73	Professional		$1,129.85	$1,483.91	$2,364.73