Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.00 / $3,830.00 / $8,240.00	Facility		$1,379.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.01 / $1,341.64 / $1,930.17	Professional		$1,203.01	$1,341.64	$1,930.17
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 $1,319.99 / $1,369.80 / $2,594.27	Professional		$1,319.99	$1,369.80	$2,594.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,490.92 / $1,490.92 / $1,490.92	Facility		$1,490.92	$1,490.92	$1,490.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.27 / $1,673.61 / $2,703.77	Professional		$1,245.27	$1,673.61	$2,703.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.81 / $2,056.17 / $2,675.22	Professional		$1,548.81	$2,056.17	$2,675.22
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 $1,203.01 / $1,443.03 / $6,653.65	Professional		$1,203.01	$1,443.03	$6,653.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.90 / $1,373.90 / $2,767.20	Professional		$1,373.90	$1,373.90	$2,767.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.92 / $1,490.92 / $1,490.92	Facility		$1,490.92	$1,490.92	$1,490.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.91 / $1,681.12 / $2,828.16	Professional		$1,258.91	$1,681.12	$2,828.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,303.30 / $1,303.30 / $1,494.93	Facility		$1,303.30	$1,303.30	$1,494.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,273.76 / $1,303.30 / $1,494.93	Professional		$1,273.76	$1,303.30	$1,494.93
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 $1,197.98 / $1,630.27 / $2,569.33	Professional		$1,197.98	$1,630.27	$2,569.33