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 $1,592.77 / $1,786.08 / $2,589.14	Professional		$1,592.77	$1,786.08	$2,589.14
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,770.63 / $1,837.45 / $1,837.45	Professional		$1,770.63	$1,837.45	$1,837.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Facility		$2,004.00	$2,004.00	$2,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.27 / $2,255.05 / $3,668.07	Professional		$1,707.27	$2,255.05	$3,668.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.67 / $2,829.55 / $3,600.80	Professional		$2,084.67	$2,829.55	$3,600.80
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 $1,592.77 / $1,839.77 / $5,958.00	Professional		$1,592.77	$1,839.77	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,870.00 / $2,870.00 / $3,736.20	Professional		$2,870.00	$2,870.00	$3,736.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Facility		$2,004.00	$2,004.00	$2,004.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,752.11 / $2,283.61 / $3,759.25	Professional		$1,752.11	$2,283.61	$3,759.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,727.85 / $1,727.85 / $2,624.53	Facility		$1,727.85	$1,727.85	$2,624.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,669.81 / $1,741.45 / $2,624.53	Professional		$1,669.81	$1,741.45	$2,624.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,759.12 / $2,321.62 / $3,492.35	Professional		$1,759.12	$2,321.62	$3,492.35