Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,183.94 / $2,351.09 / $3,148.63	Professional		$2,183.94	$2,351.09	$3,148.63
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 $2,407.32 / $2,498.17 / $2,498.17	Professional		$2,407.32	$2,498.17	$2,498.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,718.09 / $2,718.09 / $2,718.09	Facility		$2,718.09	$2,718.09	$2,718.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.55 / $2,861.91 / $4,800.60	Professional		$2,054.55	$2,861.91	$4,800.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,839.02 / $3,833.49 / $4,903.77	Professional		$2,839.02	$3,833.49	$4,903.77
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 $2,183.94 / $2,469.53 / $5,958.00	Professional		$2,183.94	$2,469.53	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.50 / $2,326.50 / $4,958.60	Professional		$2,326.50	$2,326.50	$4,958.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,718.09 / $2,718.09 / $2,718.09	Facility		$2,718.09	$2,718.09	$2,718.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,109.62 / $2,879.92 / $4,845.05	Professional		$2,109.62	$2,879.92	$4,845.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,307.12 / $2,365.21 / $2,365.21	Facility		$2,307.12	$2,365.21	$2,365.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,294.55 / $2,365.21 / $2,505.04	Professional		$2,294.55	$2,365.21	$2,505.04
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 $2,103.10 / $2,860.52 / $4,658.14	Professional		$2,103.10	$2,860.52	$4,658.14