Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,037.50 / $10,266.79 / $15,683.50	Facility		$3,037.50	$10,266.79	$15,683.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,752.18 / $3,037.50 / $24,112.50	Professional		$1,752.18	$3,037.50	$24,112.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $13,058.41 / $19,848.40	Facility		$8,639.91	$13,058.41	$19,848.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,925.00 / $2,925.00 / $2,925.00	Professional		$2,925.00	$2,925.00	$2,925.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,558.75 / $5,539.49 / $12,443.79	Facility		$3,558.75	$5,539.49	$12,443.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $4,004.95 / $8,481.12	Professional		$1,766.90	$4,004.95	$8,481.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,231.25 / $5,062.50 / $7,125.00	Professional		$2,231.25	$5,062.50	$7,125.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,187.50 / $10,266.79 / $15,487.50	Facility		$3,187.50	$10,266.79	$15,487.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,362.50 / $3,187.50 / $15,487.50	Professional		$2,362.50	$3,187.50	$15,487.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,550.00 / $5,625.00 / $7,500.00	Professional		$5,550.00	$5,625.00	$7,500.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,649.99 / $6,238.78 / $12,443.79	Facility		$3,649.99	$6,238.78	$12,443.79
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,436.71 / $4,014.12 / $8,481.12	Professional		$2,436.71	$4,014.12	$8,481.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,674.38 / $3,750.00 / $3,750.00	Facility		$1,674.38	$3,750.00	$3,750.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,674.38 / $3,750.00 / $3,750.00	Professional		$1,674.38	$3,750.00	$3,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $2,250.00 / $5,625.00	Professional		$1,575.00	$2,250.00	$5,625.00