Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,680.00 / $9,676.00	Facility		$1,499.00	$4,680.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.17 / $1,822.54 / $2,701.82	Professional		$1,643.17	$1,822.54	$2,701.82
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 $1,847.70 / $1,917.42 / $1,917.42	Professional		$1,847.70	$1,917.42	$1,917.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.28 / $2,229.34 / $3,643.00	Professional		$1,674.28	$2,229.34	$3,643.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.41 / $3,126.29 / $3,828.35	Professional		$2,216.41	$3,126.29	$3,828.35
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 $1,643.17 / $1,986.96 / $8,949.29	Professional		$1,643.17	$1,986.96	$8,949.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.10 / $1,983.10 / $3,719.30	Professional		$1,983.10	$1,983.10	$3,719.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,097.92 / $2,097.92 / $2,097.92	Facility		$2,097.92	$2,097.92	$2,097.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.77 / $2,282.35 / $3,740.46	Professional		$1,684.77	$2,282.35	$3,740.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,797.80 / $1,797.80 / $1,797.80	Facility		$1,797.80	$1,797.80	$1,797.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,711.04 / $1,833.76 / $1,910.48	Professional		$1,711.04	$1,833.76	$1,910.48
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 $1,615.10 / $2,227.32 / $3,647.61	Professional		$1,615.10	$2,227.32	$3,647.61