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 $1,634.91 / $1,834.52 / $2,659.51	Professional		$1,634.91	$1,834.52	$2,659.51
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 $1,818.76 / $1,976.39 / $3,357.68	Professional		$1,818.76	$1,976.39	$3,357.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $2,057.66	Facility		$2,057.66	$2,057.66	$2,057.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.76 / $2,316.34 / $3,772.12	Professional		$1,752.76	$2,316.34	$3,772.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.08 / $2,906.82 / $3,698.24	Professional		$2,141.08	$2,906.82	$3,698.24
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 $1,634.91 / $1,882.32 / $5,958.00	Professional		$1,634.91	$1,882.32	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,144.10 / $3,144.10 / $3,838.20	Professional		$3,144.10	$3,144.10	$3,838.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.66 / $2,057.66 / $2,057.66	Facility		$2,057.66	$2,057.66	$2,057.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.71 / $2,345.94 / $3,851.20	Professional		$1,798.71	$2,345.94	$3,851.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,774.75 / $1,774.75 / $2,647.73	Facility		$1,774.75	$1,774.75	$2,647.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,715.12 / $1,789.06 / $2,647.73	Professional		$1,715.12	$1,789.06	$2,647.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,816.79 / $2,383.10 / $3,606.84	Professional		$1,816.79	$2,383.10	$3,606.84