Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,367.77 / $8,451.00	Facility		$1,301.00	$3,367.77	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,930.95 / $3,182.44 / $4,677.37	Professional		$2,930.95	$3,182.44	$4,677.37
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 $3,250.89 / $3,566.42 / $6,060.17	Professional		$3,250.89	$3,566.42	$6,060.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,964.82 / $3,892.52 / $6,397.82	Professional		$2,964.82	$3,892.52	$6,397.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,817.56 / $5,187.01 / $6,593.97	Professional		$3,817.56	$5,187.01	$6,593.97
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 $2,928.96 / $3,282.36 / $6,937.61	Professional		$2,928.96	$3,282.36	$6,937.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,629.60 / $4,629.60 / $6,572.00	Professional		$4,629.60	$4,629.60	$6,572.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.92 / $3,986.94 / $6,544.10	Professional		$3,022.92	$3,986.94	$6,544.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,176.70 / $3,176.70 / $3,298.93	Facility		$3,176.70	$3,176.70	$3,298.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,064.90 / $3,206.79 / $3,348.93	Professional		$3,064.90	$3,206.79	$3,348.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,368.00 / $11,238.00	Facility		$3,340.00	$6,368.00	$11,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,893.96 / $3,967.03 / $6,571.08	Professional		$2,893.96	$3,967.03	$6,571.08