Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.30 / $2,063.05 / $3,543.60	Professional		$1,784.30	$2,063.05	$3,543.60
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 $2,094.27 / $2,173.30 / $2,173.30	Professional		$2,094.27	$2,173.30	$2,173.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.78 / $2,381.78 / $2,381.78	Facility		$2,381.78	$2,381.78	$2,381.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.10 / $2,593.69 / $4,184.46	Professional		$1,918.10	$2,593.69	$4,184.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,509.14 / $3,546.60 / $4,333.97	Professional		$2,509.14	$3,546.60	$4,333.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,784.30 / $2,329.82 / $5,260.10	Professional		$1,784.30	$2,329.82	$5,260.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,129.19 / $2,129.19 / $4,213.39	Professional		$2,129.19	$2,129.19	$4,213.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,381.78 / $2,381.78 / $2,381.78	Facility		$2,381.78	$2,381.78	$2,381.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.82 / $2,623.76 / $4,184.46	Professional		$1,923.82	$2,623.76	$4,184.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,859.04 / $2,041.20 / $2,041.20	Facility		$1,859.04	$2,041.20	$2,041.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,859.04 / $2,041.20 / $2,166.33	Professional		$1,859.04	$2,041.20	$2,166.33
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,985.36 / $2,632.76 / $4,215.58	Professional		$1,985.36	$2,632.76	$4,215.58