Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.94 / $1,297.94 / $1,603.43	Facility		$1,297.94	$1,297.94	$1,603.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.83 / $1,519.92 / $2,156.28	Professional		$1,194.83	$1,519.92	$2,156.28
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 $1,590.30 / $1,650.31 / $2,960.34	Professional		$1,590.30	$1,650.31	$2,960.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,931.11 / $3,209.60	Professional		$1,350.82	$1,931.11	$3,209.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.76 / $2,453.92 / $3,200.23	Professional		$1,852.76	$2,453.92	$3,200.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,297.94 / $1,297.94 / $1,603.43	Facility		$1,297.94	$1,297.94	$1,603.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,244.01 / $1,606.42 / $3,303.07	Professional		$1,244.01	$1,606.42	$3,303.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,129.69 / $2,129.69 / $3,802.20	Professional		$2,129.69	$2,129.69	$3,802.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,222.92 / $2,222.92 / $2,222.92	Facility		$2,222.92	$2,222.92	$2,222.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,950.37 / $3,282.66	Professional		$1,350.82	$1,950.37	$3,282.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,257.99 / $1,459.61 / $2,276.90	Facility		$1,257.99	$1,459.61	$2,276.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,257.99 / $1,496.77 / $1,615.55	Professional		$1,257.99	$1,496.77	$1,615.55
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 $1,565.63 / $2,003.60 / $3,206.22	Professional		$1,565.63	$2,003.60	$3,206.22