Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.58 / $1,031.58 / $3,992.21	Facility		$1,031.58	$1,031.58	$3,992.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,131.85 / $1,618.63	Professional		$1,031.58	$1,131.85	$1,618.63
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 $1,758.95 / $2,309.98 / $2,309.98	Professional		$1,758.95	$2,309.98	$2,309.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $2,988.26	Facility		$1,964.43	$1,964.43	$2,988.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $2,696.95	Professional		$1,434.03	$1,434.03	$2,696.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,833.59 / $3,079.99 / $5,851.98	Professional		$2,833.59	$3,079.99	$5,851.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,031.58 / $1,031.58 / $3,992.21	Facility		$1,031.58	$1,031.58	$3,992.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,011.36 / $1,132.72 / $1,910.09	Professional		$1,011.36	$1,132.72	$1,910.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.19 / $4,200.70 / $6,068.10	Professional		$2,086.19	$4,200.70	$6,068.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $2,988.26	Facility		$1,964.43	$1,964.43	$2,988.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $3,520.50	Professional		$1,434.03	$1,434.03	$3,520.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,103.83 / $1,103.83 / $2,198.69	Facility		$1,103.83	$1,103.83	$2,198.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.83 / $2,198.69 / $2,931.58	Professional		$1,103.83	$2,198.69	$2,931.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.43 / $1,385.99 / $2,083.17	Professional		$1,080.43	$1,385.99	$2,083.17