Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,451.00	Facility		$1,499.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.09 / $1,690.03 / $2,433.02	Professional		$1,519.09	$1,690.03	$2,433.02
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 $1,663.87 / $2,221.51 / $2,939.07	Professional		$1,663.87	$2,221.51	$2,939.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.88 / $2,149.44 / $3,546.51	Professional		$1,612.88	$2,149.44	$3,546.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.52 / $2,690.49 / $3,393.27	Professional		$1,964.52	$2,690.49	$3,393.27
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 $1,519.09 / $1,754.62 / $7,197.00	Professional		$1,519.09	$1,754.62	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $3,419.80 / $4,268.20	Professional		$12.00	$3,419.80	$4,268.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,894.69 / $1,894.69 / $1,894.69	Facility		$1,894.69	$1,894.69	$1,894.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.37 / $2,175.55 / $3,713.39	Professional		$1,642.37	$2,175.55	$3,713.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,634.34 / $1,634.34 / $1,954.94	Facility		$1,634.34	$1,634.34	$1,954.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,573.20 / $1,653.18 / $1,954.94	Professional		$1,573.20	$1,653.18	$1,954.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,695.27 / $2,164.31 / $3,557.11	Professional		$1,695.27	$2,164.31	$3,557.11