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 $1,482.54 / $1,651.51 / $2,383.17	Professional		$1,482.54	$1,651.51	$2,383.17
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 $1,629.78 / $1,691.28 / $1,691.28	Professional		$1,629.78	$1,691.28	$1,691.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.64 / $1,858.64 / $1,858.64	Facility		$1,858.64	$1,858.64	$1,858.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,550.68 / $2,029.98 / $3,292.12	Professional		$1,550.68	$2,029.98	$3,292.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.00 / $2,550.85 / $3,288.73	Professional		$1,904.00	$2,550.85	$3,288.73
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 $1,482.54 / $1,719.60 / $6,862.00	Professional		$1,482.54	$1,719.60	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.50 / $1,876.50 / $3,337.80	Professional		$1,876.50	$1,876.50	$3,337.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,858.64 / $1,858.64 / $1,858.64	Facility		$1,858.64	$1,858.64	$1,858.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.05 / $2,073.37 / $3,495.42	Professional		$1,567.05	$2,073.37	$3,495.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,610.79 / $1,610.79 / $1,901.40	Facility		$1,610.79	$1,610.79	$1,901.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,563.77 / $1,616.52 / $1,901.40	Professional		$1,563.77	$1,616.52	$1,901.40
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 $1,507.35 / $2,001.51 / $3,280.32	Professional		$1,507.35	$2,001.51	$3,280.32