Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,266.67 / $2,266.67 / $8,772.01	Facility		$2,266.67	$2,266.67	$8,772.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,876.56 / $2,400.01 / $2,978.54	Professional		$1,876.56	$2,400.01	$2,978.54
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 $3,864.90 / $5,075.70 / $5,075.70	Professional		$3,864.90	$5,075.70	$5,075.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $4,724.42	Facility		$3,323.97	$3,323.97	$4,724.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $4,136.85	Professional		$2,426.50	$2,426.50	$4,136.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,346.47 / $4,724.42 / $8,976.40	Professional		$4,346.47	$4,724.42	$8,976.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,266.67 / $2,266.67 / $8,772.01	Facility		$2,266.67	$2,266.67	$8,772.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,876.56 / $2,488.90 / $3,818.46	Professional		$1,876.56	$2,488.90	$3,818.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,653.20 / $9,307.90 / $9,307.90	Professional		$7,653.20	$9,307.90	$9,307.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $4,724.42	Facility		$3,323.97	$3,323.97	$4,724.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $6,087.75	Professional		$2,426.50	$2,426.50	$6,087.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,435.42 / $4,831.13 / $4,831.13	Facility		$4,435.42	$4,831.13	$4,831.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,435.42 / $4,831.13 / $4,998.20	Professional		$4,435.42	$4,831.13	$4,998.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,356.96 / $2,751.67 / $4,838.64	Professional		$2,356.96	$2,751.67	$4,838.64