Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,981.68 / $1,981.68 / $7,669.10	Facility		$1,981.68	$1,981.68	$7,669.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.56 / $2,098.25 / $2,703.94	Professional		$1,736.56	$2,098.25	$2,703.94
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 $3,378.96 / $4,437.52 / $4,437.52	Professional		$3,378.96	$4,437.52	$4,437.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $4,437.52	Facility		$2,941.06	$2,941.06	$4,437.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $5,270.63	Professional		$2,146.96	$2,146.96	$5,270.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,082.52 / $4,437.52 / $8,431.29	Professional		$4,082.52	$4,437.52	$8,431.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,981.68 / $1,981.68 / $7,669.10	Facility		$1,981.68	$1,981.68	$7,669.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,736.56 / $2,098.25 / $3,057.37	Professional		$1,736.56	$2,098.25	$3,057.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,502.00 / $6,327.30 / $8,742.70	Professional		$5,502.00	$6,327.30	$8,742.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $4,437.52	Facility		$2,941.06	$2,941.06	$4,437.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $5,323.33	Professional		$2,146.96	$2,146.96	$5,323.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,172.64 / $4,223.70 / $4,223.70	Facility		$3,172.64	$4,223.70	$4,223.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,172.64 / $4,223.70 / $4,327.39	Professional		$3,172.64	$4,223.70	$4,327.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,026.24 / $2,501.11 / $4,001.77	Professional		$2,026.24	$2,501.11	$4,001.77