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 $1,528.75 / $1,673.87 / $2,387.26	Professional		$1,528.75	$1,673.87	$2,387.26
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 $1,690.11 / $1,753.88 / $1,753.88	Professional		$1,690.11	$1,753.88	$1,753.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.01 / $1,911.01 / $1,911.01	Facility		$1,911.01	$1,911.01	$1,911.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.79 / $2,024.94 / $3,343.58	Professional		$1,561.79	$2,024.94	$3,343.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.16 / $2,683.49 / $3,430.64	Professional		$1,986.16	$2,683.49	$3,430.64
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 $1,528.75 / $1,757.04 / $7,197.00	Professional		$1,528.75	$1,757.04	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,053.60 / $2,053.60 / $3,448.90	Professional		$2,053.60	$2,053.60	$3,448.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,911.01 / $1,911.01 / $1,911.01	Facility		$1,911.01	$1,911.01	$1,911.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.79 / $2,085.16 / $3,414.26	Professional		$1,561.79	$2,085.16	$3,414.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,657.47 / $1,657.47 / $1,900.44	Facility		$1,657.47	$1,657.47	$1,900.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,605.01 / $1,667.33 / $1,900.44	Professional		$1,605.01	$1,667.33	$1,900.44
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 $1,612.94 / $2,029.59 / $3,246.80	Professional		$1,612.94	$2,029.59	$3,246.80