Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.45 / $4,050.00 / $8,933.00	Facility		$1,382.45	$4,050.00	$8,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.09 / $1,345.51 / $1,936.45	Professional		$1,208.09	$1,345.51	$1,936.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,324.28 / $1,374.25 / $1,374.25	Professional		$1,324.28	$1,374.25	$1,374.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.15 / $1,496.15 / $1,496.15	Facility		$1,496.15	$1,496.15	$1,496.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.89 / $1,624.12 / $2,728.13	Professional		$1,242.89	$1,624.12	$2,728.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.87 / $2,058.42 / $2,678.77	Professional		$1,550.87	$2,058.42	$2,678.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,071.29 / $10,247.00	Facility		$1,301.00	$5,071.29	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,208.09 / $1,391.53 / $6,663.69	Professional		$1,208.09	$1,391.53	$6,663.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.80 / $1,392.80 / $2,780.90	Professional		$1,392.80	$1,392.80	$2,780.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,496.15 / $1,496.15 / $1,496.15	Facility		$1,496.15	$1,496.15	$1,496.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.32 / $1,669.42 / $2,758.38	Professional		$1,249.32	$1,669.42	$2,758.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,307.99 / $1,307.99 / $1,368.97	Facility		$1,307.99	$1,307.99	$1,368.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,277.53 / $1,307.99 / $1,383.11	Professional		$1,277.53	$1,307.99	$1,383.11
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 $1,192.77 / $1,603.26 / $2,588.28	Professional		$1,192.77	$1,603.26	$2,588.28