Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.15 / $4,475.00 / $9,676.00	Facility		$1,475.15	$4,475.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.40 / $1,530.73 / $1,977.95	Professional		$1,340.40	$1,530.73	$1,977.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,083.91 / $1,275.19 / $1,275.19	Professional		$1,083.91	$1,275.19	$1,275.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Facility		$1,795.12	$1,795.12	$1,795.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.63 / $1,847.35 / $3,209.01	Professional		$1,258.63	$1,847.35	$3,209.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.75 / $1,551.85 / $2,094.98	Professional		$1,124.75	$1,551.85	$2,094.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,079.00 / $10,527.00	Facility		$1,301.00	$5,079.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,388.17 / $1,579.21 / $4,061.92	Professional		$1,388.17	$1,579.21	$4,061.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.30 / $1,367.30 / $1,428.40	Professional		$1,367.30	$1,367.30	$1,428.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Facility		$1,795.12	$1,795.12	$1,795.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.68 / $1,883.17 / $3,356.51	Professional		$1,360.68	$1,883.17	$3,356.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.55 / $1,584.55 / $1,584.55	Facility		$1,584.55	$1,584.55	$1,584.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $841.58 / $1,584.55 / $1,584.55	Professional		$841.58	$1,584.55	$1,584.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.68 / $1,680.55 / $2,999.45	Professional		$1,231.68	$1,680.55	$2,999.45