Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $4,250.00 / $10,398.00	Facility		$1,519.00	$4,250.00	$10,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,440.93 / $1,570.68 / $2,317.87	Professional		$1,440.93	$1,570.68	$2,317.87
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 $1,585.12 / $1,644.94 / $3,003.02	Professional		$1,585.12	$1,644.94	$3,003.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $1,794.83 / $1,794.83	Facility		$1,794.83	$1,794.83	$1,794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.46 / $1,934.27 / $3,239.99	Professional		$1,453.46	$1,934.27	$3,239.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.52 / $2,531.23 / $3,241.27	Professional		$1,876.52	$2,531.23	$3,241.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,459.00 / $5,350.00 / $11,083.00	Facility		$1,459.00	$5,350.00	$11,083.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,440.93 / $1,730.64 / $7,799.00	Professional		$1,440.93	$1,730.64	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,553.80 / $1,553.80 / $3,486.40	Professional		$1,553.80	$1,553.80	$3,486.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,794.83 / $1,794.83 / $1,794.83	Facility		$1,794.83	$1,794.83	$1,794.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.12 / $1,974.63 / $3,294.96	Professional		$1,478.12	$1,974.63	$3,294.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,466.51 / $1,559.90 / $1,559.90	Facility		$1,466.51	$1,559.90	$1,559.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,466.51 / $1,559.90 / $1,657.26	Professional		$1,466.51	$1,559.90	$1,657.26
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 $1,390.34 / $1,897.40 / $3,063.14	Professional		$1,390.34	$1,897.40	$3,063.14