Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,436.67 / $2,436.67 / $9,429.91	Facility		$2,436.67	$2,436.67	$9,429.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,871.84 / $2,544.79 / $2,908.33	Professional		$1,871.84	$2,544.79	$2,908.33
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 $4,154.76 / $5,456.36 / $5,456.36	Professional		$4,154.76	$5,456.36	$5,456.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $4,914.00	Facility		$3,523.90	$3,523.90	$4,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $4,302.87	Professional		$2,572.44	$2,572.44	$4,302.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,520.88 / $4,914.00 / $9,336.60	Professional		$4,520.88	$4,914.00	$9,336.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,436.67 / $2,436.67 / $9,429.91	Facility		$2,436.67	$2,436.67	$9,429.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,805.82 / $2,580.00 / $3,113.91	Professional		$1,805.82	$2,580.00	$3,113.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,328.40 / $6,702.00 / $9,681.50	Professional		$3,328.40	$6,702.00	$9,681.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $4,914.00	Facility		$3,523.90	$3,523.90	$4,914.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $6,315.38	Professional		$2,572.44	$2,572.44	$6,315.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,607.34 / $2,607.34 / $5,193.45	Facility		$2,607.34	$2,607.34	$5,193.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,607.34 / $5,184.95 / $5,193.45	Professional		$2,607.34	$5,184.95	$5,193.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,375.05 / $2,948.97 / $4,536.87	Professional		$2,375.05	$2,948.97	$4,536.87