Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.06 / $1,083.06 / $4,191.43	Facility		$1,083.06	$1,083.06	$4,191.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.95 / $1,146.77 / $1,542.27	Professional		$1,008.95	$1,146.77	$1,542.27
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 $1,846.71 / $2,425.26 / $2,425.26	Professional		$1,846.71	$2,425.26	$2,425.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $2,745.58	Facility		$1,769.38	$1,769.38	$2,745.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $2,404.12	Professional		$1,291.65	$1,291.65	$2,404.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,525.92 / $2,745.58 / $5,216.60	Professional		$2,525.92	$2,745.58	$5,216.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,083.06 / $1,083.06 / $4,191.43	Facility		$1,083.06	$1,083.06	$4,191.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,189.24 / $1,971.17	Professional		$1,010.30	$1,189.24	$1,971.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,404.20 / $3,914.80 / $5,409.30	Professional		$3,404.20	$3,914.80	$5,409.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,769.38 / $1,769.38 / $2,745.58	Facility		$1,769.38	$1,769.38	$2,745.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $3,171.00	Professional		$1,291.65	$1,291.65	$3,171.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,158.91 / $1,158.91 / $2,308.39	Facility		$1,158.91	$1,158.91	$2,308.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,158.91 / $2,308.39 / $2,613.28	Professional		$1,158.91	$2,308.39	$2,613.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.91 / $1,421.05 / $2,187.11	Professional		$1,138.91	$1,421.05	$2,187.11