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 $1,420.47 / $1,579.39 / $2,293.44	Professional		$1,420.47	$1,579.39	$2,293.44
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 $1,569.94 / $1,771.44 / $3,004.63	Professional		$1,569.94	$1,771.44	$3,004.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,772.98	Facility		$1,772.98	$1,772.98	$1,772.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.47 / $1,941.35 / $3,146.97	Professional		$1,488.47	$1,941.35	$3,146.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.71 / $2,427.90 / $3,162.13	Professional		$1,830.71	$2,427.90	$3,162.13
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 $1,420.47 / $1,637.45 / $6,862.00	Professional		$1,420.47	$1,637.45	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.60 / $2,020.60 / $3,247.50	Professional		$2,020.60	$2,020.60	$3,247.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,772.98	Facility		$1,772.98	$1,772.98	$1,772.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.56 / $1,998.89 / $3,325.01	Professional		$1,488.56	$1,998.89	$3,325.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,542.87 / $1,542.87 / $2,135.23	Facility		$1,542.87	$1,542.87	$2,135.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,504.71 / $1,542.87 / $2,135.23	Professional		$1,504.71	$1,542.87	$2,135.23
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 $1,477.00 / $1,976.42 / $3,179.59	Professional		$1,477.00	$1,976.42	$3,179.59