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 $2,533.66 / $2,772.40 / $4,051.40	Professional		$2,533.66	$2,772.40	$4,051.40
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 $2,789.75 / $2,895.02 / $2,895.02	Professional		$2,789.75	$2,895.02	$2,895.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,184.07	Facility		$3,184.07	$3,184.07	$3,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,674.40 / $3,428.75 / $5,606.76	Professional		$2,674.40	$3,428.75	$5,606.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,247.20 / $4,351.78 / $5,608.80	Professional		$3,247.20	$4,351.78	$5,608.80
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 $2,362.07 / $2,882.12 / $6,862.00	Professional		$2,362.07	$2,882.12	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,444.70 / $3,444.70 / $5,669.30	Professional		$3,444.70	$3,444.70	$5,669.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,184.07	Facility		$3,184.07	$3,184.07	$3,184.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.40 / $3,544.34 / $5,887.73	Professional		$2,674.40	$3,544.34	$5,887.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,753.33 / $2,753.33 / $3,148.94	Facility		$2,753.33	$2,753.33	$3,148.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,668.64 / $2,767.69 / $3,148.94	Professional		$2,668.64	$2,767.69	$3,148.94
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 $2,628.69 / $3,462.51 / $5,625.01	Professional		$2,628.69	$3,462.51	$5,625.01