Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.83 / $4,050.00 / $8,766.99	Facility		$1,130.83	$4,050.00	$8,766.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.86 / $1,101.49 / $1,833.62	Professional		$980.86	$1,101.49	$1,833.62
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 $1,078.54 / $1,119.24 / $1,119.24	Professional		$1,078.54	$1,119.24	$1,119.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,221.35 / $1,221.35	Facility		$1,221.35	$1,221.35	$1,221.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.49 / $1,343.87 / $2,228.67	Professional		$1,035.49	$1,343.87	$2,228.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,704.17 / $2,198.13	Professional		$1,272.59	$1,704.17	$2,198.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $10,247.00	Facility		$1,151.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,003.99 / $1,206.33 / $5,434.42	Professional		$1,003.99	$1,206.33	$5,434.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.09 / $1,058.09 / $2,583.69	Professional		$1,058.09	$1,058.09	$2,583.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.35 / $1,221.35 / $1,221.35	Facility		$1,221.35	$1,221.35	$1,221.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.17 / $1,373.62 / $2,310.69	Professional		$1,042.17	$1,373.62	$2,310.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,064.83 / $1,064.83 / $1,080.94	Facility		$1,064.83	$1,064.83	$1,080.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,038.14 / $1,064.83 / $1,130.27	Professional		$1,038.14	$1,064.83	$1,130.27
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 $941.76 / $1,319.84 / $2,084.48	Professional		$941.76	$1,319.84	$2,084.48