Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $3,830.00 / $8,240.00	Facility		$1,416.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.71 / $1,411.95 / $2,066.56	Professional		$1,281.71	$1,411.95	$2,066.56
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 $1,414.20 / $1,467.57 / $1,467.57	Professional		$1,414.20	$1,467.57	$1,467.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.46 / $1,596.46 / $1,596.46	Facility		$1,596.46	$1,596.46	$1,596.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.38 / $1,734.39 / $2,839.01	Professional		$1,309.38	$1,734.39	$2,839.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.86 / $2,188.80 / $2,849.75	Professional		$1,649.86	$2,188.80	$2,849.75
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 $1,281.71 / $1,461.03 / $5,958.00	Professional		$1,281.71	$1,461.03	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.90 / $1,505.90 / $2,901.30	Professional		$1,505.90	$1,505.90	$2,901.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.46 / $1,596.46 / $1,596.46	Facility		$1,596.46	$1,596.46	$1,596.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.04 / $1,736.11 / $2,839.01	Professional		$1,326.04	$1,736.11	$2,839.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,390.93 / $1,390.93 / $1,457.23	Facility		$1,390.93	$1,390.93	$1,457.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,356.74 / $1,390.93 / $1,466.54	Professional		$1,356.74	$1,390.93	$1,466.54
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 $1,278.04 / $1,711.00 / $2,687.35	Professional		$1,278.04	$1,711.00	$2,687.35