Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.37 / $1,760.37 / $2,152.73	Facility		$1,760.37	$1,760.37	$2,152.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.34 / $2,042.88 / $2,940.99	Professional		$1,620.34	$2,042.88	$2,940.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,143.44 / $2,468.34 / $4,509.30	Professional		$2,143.44	$2,468.34	$4,509.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,013.24 / $3,013.24 / $3,013.24	Facility		$3,013.24	$3,013.24	$3,013.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,831.15 / $2,607.11 / $4,314.12	Professional		$1,831.15	$2,607.11	$4,314.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.34 / $3,305.85 / $4,311.85	Professional		$2,496.34	$3,305.85	$4,311.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,760.37 / $1,760.37 / $2,152.73	Facility		$1,760.37	$1,760.37	$2,152.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,686.81 / $2,167.67 / $4,434.62	Professional		$1,686.81	$2,167.67	$4,434.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,899.80 / $2,899.80 / $5,152.70	Professional		$2,899.80	$2,899.80	$5,152.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,013.24 / $3,013.24 / $3,013.24	Facility		$3,013.24	$3,013.24	$3,013.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.15 / $2,629.55 / $4,449.89	Professional		$1,831.15	$2,629.55	$4,449.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,705.66 / $1,989.17 / $3,238.37	Facility		$1,705.66	$1,989.17	$3,238.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,705.66 / $2,012.36 / $2,171.64	Professional		$1,705.66	$2,012.36	$2,171.64
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 $2,079.73 / $2,693.10 / $4,451.47	Professional		$2,079.73	$2,693.10	$4,451.47