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 $1,935.35 / $2,176.44 / $2,910.69	Professional		$1,935.35	$2,176.44	$2,910.69
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 $2,225.21 / $2,309.19 / $2,309.19	Professional		$2,225.21	$2,309.19	$2,309.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,513.88 / $2,513.88 / $2,513.88	Facility		$2,513.88	$2,513.88	$2,513.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.77 / $2,543.63 / $4,419.59	Professional		$1,806.77	$2,543.63	$4,419.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,626.09 / $3,544.68 / $4,535.97	Professional		$2,626.09	$3,544.68	$4,535.97
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 $1,935.35 / $2,271.77 / $5,958.00	Professional		$1,935.35	$2,271.77	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,218.30 / $2,218.30 / $4,593.10	Professional		$2,218.30	$2,218.30	$4,593.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,513.88 / $2,513.88 / $2,513.88	Facility		$2,513.88	$2,513.88	$2,513.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.38 / $2,596.92 / $4,419.59	Professional		$1,949.38	$2,596.92	$4,419.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,958.54 / $2,187.10 / $2,187.10	Facility		$1,958.54	$2,187.10	$2,187.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,958.54 / $2,187.10 / $2,317.81	Professional		$1,958.54	$2,187.10	$2,317.81
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 $1,910.67 / $2,579.85 / $4,539.27	Professional		$1,910.67	$2,579.85	$4,539.27