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 $1,560.03 / $1,715.19 / $2,527.88	Professional		$1,560.03	$1,715.19	$2,527.88
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 $1,728.74 / $1,793.98 / $1,793.98	Professional		$1,728.74	$1,793.98	$1,793.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.89 / $1,952.89 / $1,952.89	Facility		$1,952.89	$1,952.89	$1,952.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.41 / $2,120.16 / $3,483.17	Professional		$1,549.41	$2,120.16	$3,483.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,031.16 / $2,744.94 / $3,508.37	Professional		$2,031.16	$2,744.94	$3,508.37
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 $1,560.03 / $1,792.93 / $5,958.00	Professional		$1,560.03	$1,792.93	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.00 / $2,024.00 / $3,607.30	Professional		$2,024.00	$2,024.00	$3,607.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.89 / $1,952.89 / $1,952.89	Facility		$1,952.89	$1,952.89	$1,952.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.02 / $2,134.62 / $3,657.30	Professional		$1,591.02	$2,134.62	$3,657.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,692.47 / $1,692.47 / $1,841.20	Facility		$1,692.47	$1,692.47	$1,841.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,638.52 / $1,702.92 / $1,841.20	Professional		$1,638.52	$1,702.92	$1,841.20
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 $1,592.44 / $2,037.41 / $3,317.77	Professional		$1,592.44	$2,037.41	$3,317.77