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 $1,902.95 / $2,062.78 / $2,959.12	Professional		$1,902.95	$2,062.78	$2,959.12
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 $2,106.11 / $2,293.48 / $3,904.08	Professional		$2,106.11	$2,293.48	$3,904.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,382.40	Facility		$2,382.40	$2,382.40	$2,382.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,868.29 / $2,523.37 / $4,161.66	Professional		$1,868.29	$2,523.37	$4,161.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.23 / $3,341.66 / $4,270.22	Professional		$2,472.23	$3,341.66	$4,270.22
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 $1,902.95 / $2,182.71 / $5,958.00	Professional		$1,902.95	$2,182.71	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,559.40 / $2,559.40 / $4,323.50	Professional		$2,559.40	$2,559.40	$4,323.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,382.40 / $2,382.40 / $2,382.40	Facility		$2,382.40	$2,382.40	$2,382.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.58 / $2,582.96 / $4,245.43	Professional		$1,897.58	$2,582.96	$4,245.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,063.92 / $2,063.92 / $2,179.85	Facility		$2,063.92	$2,063.92	$2,179.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,997.01 / $2,077.62 / $2,179.85	Professional		$1,997.01	$2,077.62	$2,179.85
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 $1,892.85 / $2,527.79 / $4,193.58	Professional		$1,892.85	$2,527.79	$4,193.58