Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.91 / $4,048.00 / $8,451.00	Facility		$1,358.91	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.59 / $1,289.80 / $1,821.66	Professional		$1,180.59	$1,289.80	$1,821.66
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 $1,312.14 / $1,361.66 / $1,361.66	Professional		$1,312.14	$1,361.66	$1,361.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $1,480.64 / $1,480.64	Facility		$1,480.64	$1,480.64	$1,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $1,547.62 / $2,576.69	Professional		$1,185.19	$1,547.62	$2,576.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.81 / $2,086.28 / $2,668.30	Professional		$1,544.81	$2,086.28	$2,668.30
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 $1,180.59 / $1,364.46 / $6,295.82	Professional		$1,180.59	$1,364.46	$6,295.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.40 / $1,483.40 / $2,670.70	Professional		$1,483.40	$1,483.40	$2,670.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $1,480.64 / $1,480.64	Facility		$1,480.64	$1,480.64	$1,480.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.19 / $1,570.55 / $2,598.13	Professional		$1,185.19	$1,570.55	$2,598.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,246.86 / $1,282.92 / $1,282.92	Facility		$1,246.86	$1,282.92	$1,282.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,243.33 / $1,282.92 / $1,356.74	Professional		$1,243.33	$1,282.92	$1,356.74
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 $1,149.84 / $1,499.29 / $2,315.78	Professional		$1,149.84	$1,499.29	$2,315.78