Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $3,830.00 / $8,240.00	Facility		$1,416.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.05 / $1,397.88 / $2,205.00	Professional		$1,267.05	$1,397.88	$2,205.00
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 $1,399.24 / $1,452.04 / $2,686.91	Professional		$1,399.24	$1,452.04	$2,686.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $1,579.28 / $1,579.28	Facility		$1,579.28	$1,579.28	$1,579.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.50 / $1,728.40 / $2,810.28	Professional		$1,268.50	$1,728.40	$2,810.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.85 / $2,169.00 / $2,823.84	Professional		$1,634.85	$2,169.00	$2,823.84
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 $1,286.00 / $1,477.52 / $5,100.00	Professional		$1,286.00	$1,477.52	$5,100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.70 / $1,463.70 / $3,049.70	Professional		$1,463.70	$1,463.70	$3,049.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,579.28 / $1,579.28 / $1,579.28	Facility		$1,579.28	$1,579.28	$1,579.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.79 / $1,752.33 / $2,921.44	Professional		$1,291.79	$1,752.33	$2,921.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,375.36 / $1,375.36 / $1,448.69	Facility		$1,375.36	$1,375.36	$1,448.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,342.30 / $1,375.36 / $1,451.66	Professional		$1,342.30	$1,375.36	$1,451.66
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 $1,237.46 / $1,725.55 / $2,858.09	Professional		$1,237.46	$1,725.55	$2,858.09