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 $1,423.63 / $1,583.88 / $2,284.71	Professional		$1,423.63	$1,583.88	$2,284.71
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 $1,562.45 / $1,621.41 / $1,621.41	Professional		$1,562.45	$1,621.41	$1,621.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.39 / $1,765.39 / $1,765.39	Facility		$1,765.39	$1,765.39	$1,765.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.01 / $1,944.28 / $3,210.32	Professional		$1,474.01	$1,944.28	$3,210.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.22 / $2,424.65 / $3,156.11	Professional		$1,827.22	$2,424.65	$3,156.11
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 $1,423.63 / $1,651.80 / $6,862.00	Professional		$1,423.63	$1,651.80	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,783.20 / $1,783.20 / $3,260.40	Professional		$1,783.20	$1,783.20	$3,260.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,765.39 / $1,765.39 / $1,765.39	Facility		$1,765.39	$1,765.39	$1,765.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.51 / $1,989.91 / $3,252.88	Professional		$1,485.51	$1,989.91	$3,252.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,542.42 / $1,542.42 / $1,674.82	Facility		$1,542.42	$1,542.42	$1,674.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,505.81 / $1,542.42 / $1,674.82	Professional		$1,505.81	$1,542.42	$1,674.82
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 $1,453.20 / $1,931.38 / $3,051.04	Professional		$1,453.20	$1,931.38	$3,051.04