Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $4,048.00 / $8,451.00	Facility		$1,461.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.43 / $1,502.49 / $2,036.27	Professional		$1,368.43	$1,502.49	$2,036.27
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 $1,513.09 / $1,570.18 / $1,570.18	Professional		$1,513.09	$1,570.18	$1,570.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $1,710.90 / $1,710.90	Facility		$1,710.90	$1,710.90	$1,710.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,372.04 / $1,815.99 / $3,057.83	Professional		$1,372.04	$1,815.99	$3,057.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.25 / $2,403.96 / $3,073.25	Professional		$1,779.25	$2,403.96	$3,073.25
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 $1,368.43 / $1,584.04 / $7,197.00	Professional		$1,368.43	$1,584.04	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.00 / $1,899.00 / $3,090.30	Professional		$1,899.00	$1,899.00	$3,090.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $1,710.90 / $1,710.90	Facility		$1,710.90	$1,710.90	$1,710.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.92 / $1,867.69 / $3,214.36	Professional		$1,372.92	$1,867.69	$3,214.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,483.73 / $1,483.73 / $1,673.90	Facility		$1,483.73	$1,483.73	$1,673.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,437.23 / $1,492.08 / $1,673.90	Professional		$1,437.23	$1,492.08	$1,673.90
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 $1,412.07 / $1,781.89 / $2,852.87	Professional		$1,412.07	$1,781.89	$2,852.87