Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,451.00	Facility		$1,499.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.17 / $2,195.29 / $3,435.06	Professional		$1,991.17	$2,195.29	$3,435.06
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 $2,195.02 / $2,277.85 / $3,522.54	Professional		$2,195.02	$2,277.85	$3,522.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $2,486.26 / $2,486.26	Facility		$2,486.26	$2,486.26	$2,486.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.64 / $2,695.40 / $4,499.25	Professional		$1,947.64	$2,695.40	$4,499.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,578.17 / $3,484.10 / $4,453.20	Professional		$2,578.17	$3,484.10	$4,453.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,991.17 / $2,287.90 / $5,958.00	Professional		$1,991.17	$2,287.90	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,578.30 / $2,578.30 / $4,931.60	Professional		$2,578.30	$2,578.30	$4,931.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,486.26 / $2,486.26 / $2,486.26	Facility		$2,486.26	$2,486.26	$2,486.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.86 / $2,782.66 / $4,579.39	Professional		$1,986.86	$2,782.66	$4,579.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,157.37 / $2,157.37 / $2,428.83	Facility		$2,157.37	$2,157.37	$2,428.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,088.52 / $2,170.77 / $2,428.83	Professional		$2,088.52	$2,170.77	$2,428.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,039.20 / $2,620.00 / $4,229.70	Professional		$2,039.20	$2,620.00	$4,229.70