Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.84 / $4,048.00 / $8,451.00	Facility		$1,320.84	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.43 / $1,240.23 / $1,688.11	Professional		$1,147.43	$1,240.23	$1,688.11
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 $1,273.52 / $1,321.57 / $2,275.85	Professional		$1,273.52	$1,321.57	$2,275.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.35 / $1,437.35 / $1,437.35	Facility		$1,437.35	$1,437.35	$1,437.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.09 / $1,525.81 / $2,530.13	Professional		$1,155.09	$1,525.81	$2,530.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.48 / $2,025.42 / $2,590.00	Professional		$1,499.48	$2,025.42	$2,590.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,147.43 / $1,325.36 / $6,287.01	Professional		$1,147.43	$1,325.36	$6,287.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.60 / $1,390.60 / $2,651.80	Professional		$1,390.60	$1,390.60	$2,651.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.35 / $1,437.35 / $1,437.35	Facility		$1,437.35	$1,437.35	$1,437.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,155.09 / $1,561.86 / $2,566.61	Professional		$1,155.09	$1,561.86	$2,566.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,241.50 / $1,245.98 / $1,245.98	Facility		$1,241.50	$1,245.98	$1,245.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,207.85 / $1,245.98 / $1,317.75	Professional		$1,207.85	$1,245.98	$1,317.75
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 $1,110.50 / $1,511.10 / $2,561.14	Professional		$1,110.50	$1,511.10	$2,561.14