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 $2,070.65 / $2,320.31 / $3,316.60	Professional		$2,070.65	$2,320.31	$3,316.60
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 $2,290.61 / $2,487.46 / $4,255.47	Professional		$2,290.61	$2,487.46	$4,255.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.81 / $2,840.82 / $4,618.10	Professional		$2,168.81	$2,840.82	$4,618.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,687.62 / $3,632.86 / $4,642.25	Professional		$2,687.62	$3,632.86	$4,642.25
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 $1,992.00 / $2,376.60 / $6,862.00	Professional		$1,992.00	$2,376.60	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.40 / $2,773.40 / $4,869.20	Professional		$2,773.40	$2,773.40	$4,869.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.81 / $2,896.64 / $4,873.07	Professional		$2,168.81	$2,896.64	$4,873.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,245.65 / $2,245.65 / $2,436.75	Facility		$2,245.65	$2,245.65	$2,436.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,172.62 / $2,261.05 / $2,436.75	Professional		$2,172.62	$2,261.05	$2,436.75
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 $2,182.37 / $2,750.75 / $4,567.46	Professional		$2,182.37	$2,750.75	$4,567.46