Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,066.00 / $7,799.00	Facility		$1,216.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.37 / $1,837.19 / $3,216.15	Professional		$1,610.37	$1,837.19	$3,216.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,613.37 / $1,674.26 / $3,682.73	Professional		$1,613.37	$1,674.26	$3,682.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,979.68 / $1,979.68 / $1,979.68	Facility		$1,979.68	$1,979.68	$1,979.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.66 / $2,054.76 / $3,766.52	Professional		$1,305.66	$2,054.76	$3,766.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.72 / $2,668.71 / $3,450.61	Professional		$1,997.72	$2,668.71	$3,450.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,635.07 / $2,011.81 / $4,826.52	Professional		$1,635.07	$2,011.81	$4,826.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,252.63 / $3,458.10 / $5,274.00	Professional		$2,252.63	$3,458.10	$5,274.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,979.68 / $1,979.68 / $1,979.68	Facility		$1,979.68	$1,979.68	$1,979.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.51 / $2,100.10 / $3,766.52	Professional		$1,407.51	$2,100.10	$3,766.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $1,114.36 / $1,735.72	Facility		$0.36	$1,114.36	$1,735.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,114.36 / $1,727.95 / $1,910.63	Professional		$1,114.36	$1,727.95	$1,910.63
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $1,305.00 / $3,742.00	Facility		$471.00	$1,305.00	$3,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.37 / $2,150.42 / $3,912.79	Professional		$1,313.37	$2,150.42	$3,912.79