Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.53 / $1,206.53 / $1,571.48	Facility		$1,206.53	$1,206.53	$1,571.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.57 / $1,442.71 / $2,023.23	Professional		$1,108.57	$1,442.71	$2,023.23
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 $1,569.05 / $1,628.26 / $1,628.26	Professional		$1,569.05	$1,628.26	$1,628.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,067.04 / $2,067.04 / $2,067.04	Facility		$2,067.04	$2,067.04	$2,067.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.20 / $1,833.22 / $3,053.63	Professional		$1,258.20	$1,833.22	$3,053.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.62 / $2,435.41 / $3,174.06	Professional		$1,837.62	$2,435.41	$3,174.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,206.53 / $1,206.53 / $1,571.48	Facility		$1,206.53	$1,206.53	$1,571.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,157.10 / $1,531.64 / $3,237.25	Professional		$1,157.10	$1,531.64	$3,237.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.40 / $1,989.40 / $3,746.00	Professional		$1,989.40	$1,989.40	$3,746.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,067.04 / $2,067.04 / $2,067.04	Facility		$2,067.04	$2,067.04	$2,067.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.20 / $1,873.26 / $3,215.66	Professional		$1,258.20	$1,873.26	$3,215.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,168.04 / $1,325.31 / $2,064.67	Facility		$1,168.04	$1,325.31	$2,064.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,168.04 / $1,467.94 / $1,587.31	Professional		$1,168.04	$1,467.94	$1,587.31
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 $1,488.59 / $1,947.02 / $3,193.25	Professional		$1,488.59	$1,947.02	$3,193.25