Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,063.98 / $8,451.00	Facility		$1,301.00	$4,063.98	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,539.33 / $3,959.55 / $5,733.90	Professional		$3,539.33	$3,959.55	$5,733.90
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 $3,921.25 / $4,317.62 / $7,329.96	Professional		$3,921.25	$4,317.62	$7,329.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $4,449.92	Facility		$4,449.92	$4,449.92	$4,449.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,771.64 / $4,903.14 / $8,052.63	Professional		$3,771.64	$4,903.14	$8,052.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,600.72 / $6,253.26 / $7,946.71	Professional		$4,600.72	$6,253.26	$7,946.71
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 $3,539.33 / $4,073.41 / $8,371.79	Professional		$3,539.33	$4,073.41	$8,371.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,126.89 / $5,126.89 / $7,923.60	Professional		$5,126.89	$5,126.89	$7,923.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $4,449.92	Facility		$4,449.92	$4,449.92	$4,449.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,782.51 / $4,994.04 / $8,290.81	Professional		$3,782.51	$4,994.04	$8,290.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,832.69 / $3,832.69 / $4,414.57	Facility		$3,832.69	$3,832.69	$4,414.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,696.34 / $3,870.83 / $4,414.57	Professional		$3,696.34	$3,870.83	$4,414.57
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 $3,727.15 / $4,845.30 / $7,949.76	Professional		$3,727.15	$4,845.30	$7,949.76