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 $1,725.14 / $1,995.23 / $2,910.38	Professional		$1,725.14	$1,995.23	$2,910.38
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 $2,049.44 / $2,884.36 / $3,740.69	Professional		$2,049.44	$2,884.36	$3,740.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.28 / $2,326.28 / $2,326.28	Facility		$2,326.28	$2,326.28	$2,326.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,793.08 / $2,320.12 / $3,950.51	Professional		$1,793.08	$2,320.12	$3,950.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.36 / $3,467.77 / $4,246.25	Professional		$2,458.36	$3,467.77	$4,246.25
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 $1,732.88 / $2,080.67 / $6,370.00	Professional		$1,732.88	$2,080.67	$6,370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $3,050.00 / $5,105.30	Professional		$13.00	$3,050.00	$5,105.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,326.28 / $2,326.28 / $2,326.28	Facility		$2,326.28	$2,326.28	$2,326.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,793.08 / $2,402.31 / $3,950.51	Professional		$1,793.08	$2,402.31	$3,950.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,429.53 / $1,993.13 / $1,993.13	Facility		$1,429.53	$1,993.13	$1,993.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,429.53 / $1,993.13 / $2,117.94	Professional		$1,429.53	$1,993.13	$2,117.94
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 $1,726.88 / $2,428.44 / $3,839.86	Professional		$1,726.88	$2,428.44	$3,839.86