Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.52 / $1,954.35 / $2,615.07	Professional		$1,808.52	$1,954.35	$2,615.07
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 $1,992.27 / $2,067.44 / $3,492.79	Professional		$1,992.27	$2,067.44	$3,492.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,252.73 / $2,252.73 / $2,252.73	Facility		$2,252.73	$2,252.73	$2,252.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.30 / $2,376.98 / $3,950.12	Professional		$1,711.30	$2,376.98	$3,950.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,354.17 / $3,177.23 / $4,066.30	Professional		$2,354.17	$3,177.23	$4,066.30
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 $1,768.38 / $2,048.03 / $6,862.00	Professional		$1,768.38	$2,048.03	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.20 / $1,718.20 / $4,120.80	Professional		$1,718.20	$1,718.20	$4,120.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,252.73 / $2,252.73 / $2,252.73	Facility		$2,252.73	$2,252.73	$2,252.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.66 / $2,440.36 / $3,950.12	Professional		$1,746.66	$2,440.36	$3,950.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,755.57 / $1,957.80 / $1,957.80	Facility		$1,755.57	$1,957.80	$1,957.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,755.57 / $1,957.80 / $2,076.80	Professional		$1,755.57	$1,957.80	$2,076.80
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 $1,730.75 / $2,397.71 / $4,057.09	Professional		$1,730.75	$2,397.71	$4,057.09