Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $2,747.00 / $8,017.00	Facility		$1,058.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.97 / $1,192.09 / $1,871.46	Professional		$1,034.97	$1,192.09	$1,871.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,218.26 / $1,264.23 / $1,960.97	Professional		$1,218.26	$1,264.23	$1,960.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.69 / $1,379.69 / $1,379.69	Facility		$1,379.69	$1,379.69	$1,379.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.14 / $1,424.92 / $2,398.91	Professional		$1,020.14	$1,424.92	$2,398.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.56 / $2,058.91 / $2,527.96	Professional		$1,463.56	$2,058.91	$2,527.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,055.63 / $1,267.46 / $4,575.00	Professional		$1,055.63	$1,267.46	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.00 / $1,137.00 / $2,440.90	Professional		$1,137.00	$1,137.00	$2,440.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,379.69 / $1,379.69 / $1,379.69	Facility		$1,379.69	$1,379.69	$1,379.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.90 / $1,449.79 / $2,410.44	Professional		$1,033.90	$1,449.79	$2,410.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,062.30 / $1,110.81 / $1,110.81	Facility		$1,062.30	$1,110.81	$1,110.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,062.30 / $1,110.81 / $1,178.65	Professional		$1,062.30	$1,110.81	$1,178.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.83 / $1,422.95 / $2,261.61	Professional		$1,009.83	$1,422.95	$2,261.61