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 $2,238.79 / $2,644.26 / $3,898.51	Professional		$2,238.79	$2,644.26	$3,898.51
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 $2,666.08 / $2,766.69 / $2,766.69	Professional		$2,666.08	$2,766.69	$2,766.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,011.39	Facility		$3,011.39	$3,011.39	$3,011.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,292.73 / $3,177.00 / $5,250.84	Professional		$2,292.73	$3,177.00	$5,250.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,142.90 / $4,265.01 / $5,428.64	Professional		$3,142.90	$4,265.01	$5,428.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,761.00 / $8,404.00	Facility		$1,283.00	$4,761.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,204.07 / $2,753.94 / $7,799.00	Professional		$2,204.07	$2,753.94	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,215.60 / $3,215.60 / $5,392.90	Professional		$3,215.60	$3,215.60	$5,392.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,011.39 / $3,011.39 / $3,011.39	Facility		$3,011.39	$3,011.39	$3,011.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.65 / $3,269.72 / $5,351.35	Professional		$2,291.65	$3,269.72	$5,351.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,596.28 / $2,596.28 / $2,831.45	Facility		$2,596.28	$2,596.28	$2,831.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,510.23 / $2,615.23 / $2,831.45	Professional		$2,510.23	$2,615.23	$2,831.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,497.76 / $3,235.27 / $5,241.26	Professional		$2,497.76	$3,235.27	$5,241.26