Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.04 / $2,042.31 / $2,996.46	Professional		$1,846.04	$2,042.31	$2,996.46
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 $2,049.19 / $2,126.52 / $3,377.29	Professional		$2,049.19	$2,126.52	$3,377.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $2,322.34	Facility		$2,322.34	$2,322.34	$2,322.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,976.17 / $2,620.15 / $4,142.60	Professional		$1,976.17	$2,620.15	$4,142.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,408.30 / $3,271.06 / $4,159.78	Professional		$2,408.30	$3,271.06	$4,159.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,846.04 / $2,122.57 / $5,958.00	Professional		$1,846.04	$2,122.57	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.00 / $3,284.00 / $4,145.39	Professional		$3,284.00	$3,284.00	$4,145.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,322.34 / $2,322.34 / $2,322.34	Facility		$2,322.34	$2,322.34	$2,322.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.42 / $2,651.01 / $4,344.14	Professional		$1,977.42	$2,651.01	$4,344.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,001.91 / $2,001.91 / $2,942.36	Facility		$2,001.91	$2,001.91	$2,942.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,932.50 / $2,019.93 / $2,942.36	Professional		$1,932.50	$2,019.93	$2,942.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $4,563.00 / $8,261.00	Facility		$2,228.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,985.96 / $2,624.31 / $4,106.22	Professional		$1,985.96	$2,624.31	$4,106.22