Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,047.29 / $2,047.29 / $7,923.01	Facility		$2,047.29	$2,047.29	$7,923.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,794.06 / $2,167.71 / $2,890.29	Professional		$1,794.06	$2,167.71	$2,890.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,490.82 / $4,584.43 / $4,584.43	Professional		$3,490.82	$4,584.43	$4,584.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $4,584.43	Facility		$3,670.30	$3,670.30	$4,584.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $4,014.29	Professional		$2,679.32	$2,679.32	$4,014.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,217.68 / $4,584.43 / $8,710.44	Professional		$4,217.68	$4,584.43	$8,710.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,047.29 / $2,047.29 / $7,923.01	Facility		$2,047.29	$2,047.29	$7,923.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,794.06 / $2,167.71 / $3,412.15	Professional		$1,794.06	$2,167.71	$3,412.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,105.20 / $6,252.50 / $9,032.20	Professional		$3,105.20	$6,252.50	$9,032.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $4,584.43	Facility		$3,670.30	$3,670.30	$4,584.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $6,577.50	Professional		$2,679.32	$2,679.32	$6,577.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,190.67 / $2,190.67 / $4,363.53	Facility		$2,190.67	$2,190.67	$4,363.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,190.67 / $4,363.53 / $4,450.80	Professional		$2,190.67	$4,363.53	$4,450.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.23 / $2,477.71 / $4,134.28	Professional		$2,144.23	$2,477.71	$4,134.28