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 $1,631.75 / $1,818.98 / $2,624.38	Professional		$1,631.75	$1,818.98	$2,624.38
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 $1,794.74 / $1,862.46 / $1,862.46	Professional		$1,794.74	$1,862.46	$1,862.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,047.39	Facility		$2,047.39	$2,047.39	$2,047.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.70 / $2,284.94 / $3,774.62	Professional		$1,723.70	$2,284.94	$3,774.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.82 / $2,806.63 / $3,618.32	Professional		$2,094.82	$2,806.63	$3,618.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,631.75 / $2,054.55 / $6,862.00	Professional		$1,631.75	$2,054.55	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,192.00 / $2,192.00 / $3,819.30	Professional		$2,192.00	$2,192.00	$3,819.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,047.39	Facility		$2,047.39	$2,047.39	$2,047.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.46 / $2,294.09 / $3,848.55	Professional		$1,729.46	$2,294.09	$3,848.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,773.52 / $1,773.52 / $2,636.55	Facility		$1,773.52	$1,773.52	$2,636.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,721.05 / $1,780.57 / $2,636.55	Professional		$1,721.05	$1,780.57	$2,636.55
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 $1,738.88 / $2,255.46 / $3,523.09	Professional		$1,738.88	$2,255.46	$3,523.09