Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $3,830.00 / $8,240.00	Facility		$1,416.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.66 / $1,362.75 / $1,899.13	Professional		$1,263.66	$1,362.75	$1,899.13
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 $1,404.79 / $1,457.80 / $1,457.80	Professional		$1,404.79	$1,457.80	$1,457.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.02 / $1,585.02 / $1,585.02	Facility		$1,585.02	$1,585.02	$1,585.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.08 / $1,667.87 / $2,744.46	Professional		$1,217.08	$1,667.87	$2,744.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.08 / $2,235.17 / $2,858.78	Professional		$1,655.08	$2,235.17	$2,858.78
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 $1,263.66 / $1,455.46 / $6,862.00	Professional		$1,263.66	$1,455.46	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.80 / $1,376.80 / $2,861.90	Professional		$1,376.80	$1,376.80	$2,861.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,585.02 / $1,585.02 / $1,585.02	Facility		$1,585.02	$1,585.02	$1,585.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.06 / $1,706.10 / $2,757.64	Professional		$1,230.06	$1,706.10	$2,757.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,257.77 / $1,373.09 / $1,373.09	Facility		$1,257.77	$1,373.09	$1,373.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,257.77 / $1,373.09 / $1,452.87	Professional		$1,257.77	$1,373.09	$1,452.87
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 $1,216.51 / $1,648.35 / $2,673.64	Professional		$1,216.51	$1,648.35	$2,673.64