Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,329.41 / $2,687.24 / $4,008.50	Professional		$2,329.41	$2,687.24	$4,008.50
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 $2,741.30 / $2,844.74 / $2,844.74	Professional		$2,741.30	$2,844.74	$2,844.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.91 / $3,106.91 / $3,106.91	Facility		$3,106.91	$3,106.91	$3,106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,420.98 / $3,264.54 / $5,393.90	Professional		$2,420.98	$3,264.54	$5,393.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,222.18 / $4,376.14 / $5,565.58	Professional		$3,222.18	$4,376.14	$5,565.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,329.41 / $2,831.11 / $5,851.45	Professional		$2,329.41	$2,831.11	$5,851.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,149.80 / $3,149.80 / $5,548.60	Professional		$3,149.80	$3,149.80	$5,548.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,106.91 / $3,106.91 / $3,106.91	Facility		$3,106.91	$3,106.91	$3,106.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,420.98 / $3,348.98 / $5,465.13	Professional		$2,420.98	$3,348.98	$5,465.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $2,678.00 / $3,021.32	Facility		$2,678.00	$2,678.00	$3,021.32
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,585.51 / $2,701.74 / $3,021.32	Professional		$2,585.51	$2,701.74	$3,021.32
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 $2,442.42 / $3,215.77 / $5,424.47	Professional		$2,442.42	$3,215.77	$5,424.47