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 $2,335.77 / $2,563.16 / $3,761.09	Professional		$2,335.77	$2,563.16	$3,761.09
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 $2,572.10 / $2,669.16 / $2,669.16	Professional		$2,572.10	$2,669.16	$2,669.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,934.56 / $2,934.56 / $2,934.56	Facility		$2,934.56	$2,934.56	$2,934.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,466.07 / $3,275.79 / $5,171.38	Professional		$2,466.07	$3,275.79	$5,171.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,995.56 / $4,014.79 / $5,174.16	Professional		$2,995.56	$4,014.79	$5,174.16
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 $2,188.46 / $2,661.33 / $6,862.00	Professional		$2,188.46	$2,661.33	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,207.00 / $3,207.00 / $5,231.00	Professional		$3,207.00	$3,207.00	$5,231.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,934.56 / $2,934.56 / $2,934.56	Facility		$2,934.56	$2,934.56	$2,934.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.63 / $3,279.97 / $5,204.28	Professional		$2,494.63	$3,279.97	$5,204.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,537.90 / $2,537.90 / $3,152.23	Facility		$2,537.90	$2,537.90	$3,152.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,460.96 / $2,550.46 / $3,152.23	Professional		$2,460.96	$2,550.46	$3,152.23
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 $2,424.78 / $3,173.72 / $5,206.22	Professional		$2,424.78	$3,173.72	$5,206.22