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 $1,760.48 / $1,952.93 / $2,897.69	Professional		$1,760.48	$1,952.93	$2,897.69
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 $1,981.65 / $2,056.42 / $2,056.42	Professional		$1,981.65	$2,056.42	$2,056.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.72 / $2,394.52 / $3,905.16	Professional		$1,766.72	$2,394.52	$3,905.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,377.44 / $3,352.91 / $4,106.51	Professional		$2,377.44	$3,352.91	$4,106.51
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 $1,760.48 / $2,071.61 / $9,462.00	Professional		$1,760.48	$2,071.61	$9,462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.00 / $2,191.00 / $3,999.20	Professional		$2,191.00	$2,191.00	$3,999.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,248.63 / $2,248.63 / $2,248.63	Facility		$2,248.63	$2,248.63	$2,248.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.51 / $2,432.08 / $4,007.67	Professional		$1,767.51	$2,432.08	$4,007.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,926.93 / $1,926.93 / $2,157.44	Facility		$1,926.93	$1,926.93	$2,157.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,834.26 / $1,965.47 / $2,157.44	Professional		$1,834.26	$1,965.47	$2,157.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.69 / $2,359.66 / $3,708.09	Professional		$1,734.69	$2,359.66	$3,708.09