Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,307.92 / $8,113.00	Facility		$1,301.00	$4,307.92	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,290.67 / $3,834.43 / $5,640.06	Professional		$3,290.67	$3,834.43	$5,640.06
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4,183.03 / $4,340.88 / $4,340.88	Professional		$4,183.03	$4,340.88	$4,340.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,686.83 / $5,130.12 / $8,373.60	Professional		$3,686.83	$5,130.12	$8,373.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,229.85 / $7,071.24 / $7,071.24	Professional		$5,229.85	$7,071.24	$7,071.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,307.92 / $8,247.00	Facility		$1,013.00	$4,307.92	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,290.67 / $4,050.21 / $10,597.50	Professional		$3,290.67	$4,050.21	$10,597.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,997.00 / $10,575.40	Professional		$11.00	$3,997.00	$10,575.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,729.78 / $5,130.12 / $8,373.60	Professional		$3,729.78	$5,130.12	$8,373.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,069.11 / $4,084.68 / $4,084.68	Facility		$3,069.11	$4,084.68	$4,084.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,069.11 / $4,084.68 / $4,346.76	Professional		$3,069.11	$4,084.68	$4,346.76
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,900.08 / $5,406.25 / $8,386.00	Professional		$3,900.08	$5,406.25	$8,386.00