Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.57 / $2,747.00 / $8,247.00	Facility		$1,148.57	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,209.66 / $1,794.92	Professional		$1,102.00	$1,209.66	$1,794.92
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 $1,238.76 / $1,285.50 / $2,277.55	Professional		$1,238.76	$1,285.50	$2,277.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,398.29 / $1,398.29 / $1,398.29	Facility		$1,398.29	$1,398.29	$1,398.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.70 / $1,477.78 / $2,468.67	Professional		$1,068.70	$1,477.78	$2,468.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.31 / $1,971.76 / $2,522.35	Professional		$1,460.31	$1,971.76	$2,522.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,111.91 / $1,281.09 / $2,843.00	Professional		$1,111.91	$1,281.09	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.80 / $1,424.80 / $2,542.00	Professional		$1,424.80	$1,424.80	$2,542.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,398.29 / $1,398.29 / $1,398.29	Facility		$1,398.29	$1,398.29	$1,398.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.15 / $1,519.23 / $2,489.38	Professional		$1,091.15	$1,519.23	$2,489.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,209.22 / $1,209.22 / $1,526.28	Facility		$1,209.22	$1,209.22	$1,526.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,172.68 / $1,214.58 / $1,526.28	Professional		$1,172.68	$1,214.58	$1,526.28
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 $1,082.83 / $1,500.71 / $2,358.50	Professional		$1,082.83	$1,500.71	$2,358.50