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 $1,470.65 / $1,731.60 / $2,261.62	Professional		$1,470.65	$1,731.60	$2,261.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,393.00 / $11,479.00 / $18,724.00	Facility		$6,393.00	$11,479.00	$18,724.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,776.68 / $1,843.72 / $3,028.71	Professional		$1,776.68	$1,843.72	$3,028.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.60 / $1,940.66 / $3,396.35	Professional		$1,392.60	$1,940.66	$3,396.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,134.73 / $3,002.31 / $3,687.25	Professional		$2,134.73	$3,002.31	$3,687.25
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 $1,509.67 / $1,847.78 / $7,902.00	Professional		$1,509.67	$1,847.78	$7,902.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.40 / $1,682.40 / $3,559.90	Professional		$1,682.40	$1,682.40	$3,559.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.58 / $2,011.33 / $3,396.35	Professional		$1,503.58	$2,011.33	$3,396.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,494.13 / $1,725.57 / $1,725.57	Facility		$1,494.13	$1,725.57	$1,725.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,494.13 / $1,725.57 / $1,837.02	Professional		$1,494.13	$1,725.57	$1,837.02
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 $1,451.09 / $2,023.03 / $3,480.57	Professional		$1,451.09	$2,023.03	$3,480.57