Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,149.99 / $3,149.99 / $3,335.29	Facility		$3,149.99	$3,149.99	$3,335.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,748.94 / $3,335.29 / $4,280.33	Professional		$2,748.94	$3,335.29	$4,280.33
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 $5,371.05 / $7,053.69 / $7,053.69	Professional		$5,371.05	$7,053.69	$7,053.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $7,024.51	Facility		$4,063.89	$4,063.89	$7,024.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $6,150.90	Professional		$3,454.31	$3,454.31	$6,150.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,462.55 / $7,024.51 / $13,346.57	Professional		$6,462.55	$7,024.51	$13,346.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,149.99 / $3,149.99 / $3,149.99	Facility		$3,149.99	$3,149.99	$3,149.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,748.94 / $3,335.29 / $4,887.04	Professional		$2,748.94	$3,335.29	$4,887.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.50 / $10,015.90 / $13,839.50	Professional		$8,709.50	$10,015.90	$13,839.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $7,024.51	Facility		$4,063.89	$4,063.89	$7,024.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $8,568.00	Professional		$3,454.31	$3,454.31	$8,568.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,877.72 / $4,877.72 / $6,713.81	Facility		$4,877.72	$4,877.72	$6,713.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,877.72 / $6,713.81 / $6,848.09	Professional		$4,877.72	$6,713.81	$6,848.09
United Facility/Professional Professional Modifier Low / Median / High Price $3,180.54 / $3,812.26 / $6,361.08	Professional		$3,180.54	$3,812.26	$6,361.08