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 $2,236.39 / $2,746.88 / $3,576.09	Professional		$2,236.39	$2,746.88	$3,576.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,832.16 / $2,939.04 / $2,939.04	Professional		$2,832.16	$2,939.04	$2,939.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,209.63 / $3,209.63 / $3,209.63	Facility		$3,209.63	$3,209.63	$3,209.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.54 / $3,271.89 / $5,570.09	Professional		$2,401.54	$3,271.89	$5,570.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,327.19 / $4,520.41 / $5,746.97	Professional		$3,327.19	$4,520.41	$5,746.97
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 $2,236.39 / $2,843.00 / $6,862.00	Professional		$2,236.39	$2,843.00	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,220.80 / $3,220.80 / $5,723.40	Professional		$3,220.80	$3,220.80	$5,723.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,209.63 / $3,209.63 / $3,209.63	Facility		$3,209.63	$3,209.63	$3,209.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,433.26 / $3,313.59 / $5,677.28	Professional		$2,433.26	$3,313.59	$5,677.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,765.74 / $2,765.74 / $3,498.27	Facility		$2,765.74	$2,765.74	$3,498.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,669.22 / $2,791.30 / $3,498.27	Professional		$2,669.22	$2,791.30	$3,498.27
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 $2,512.34 / $3,360.13 / $5,719.05	Professional		$2,512.34	$3,360.13	$5,719.05