Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,834.83 / $8,451.00	Facility		$1,301.00	$2,834.83	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,366.73 / $2,654.79 / $4,002.02	Professional		$2,366.73	$2,654.79	$4,002.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,736.87 / $2,993.17 / $5,085.53	Professional		$2,736.87	$2,993.17	$5,085.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.70 / $3,101.70 / $3,101.70	Facility		$3,101.70	$3,101.70	$3,101.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.86 / $3,169.73 / $5,384.51	Professional		$2,293.86	$3,169.73	$5,384.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,216.64 / $4,368.72 / $5,556.02	Professional		$3,216.64	$4,368.72	$5,556.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,366.73 / $2,764.91 / $5,958.00	Professional		$2,366.73	$2,764.91	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,428.90 / $3,428.90 / $5,536.70	Professional		$3,428.90	$3,428.90	$5,536.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,101.70 / $3,101.70 / $3,101.70	Facility		$3,101.70	$3,101.70	$3,101.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,378.44 / $3,234.28 / $5,443.28	Professional		$2,378.44	$3,234.28	$5,443.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,672.96 / $2,672.96 / $2,687.85	Facility		$2,672.96	$2,672.96	$2,687.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,580.48 / $2,687.85 / $2,819.82	Professional		$2,580.48	$2,687.85	$2,819.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,573.00 / $14,299.00	Facility		$3,340.00	$6,573.00	$14,299.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,439.98 / $3,212.69 / $5,594.15	Professional		$2,439.98	$3,212.69	$5,594.15