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 $1,642.59 / $1,835.36 / $2,817.66	Professional		$1,642.59	$1,835.36	$2,817.66
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 $1,822.80 / $1,927.97 / $3,452.85	Professional		$1,822.80	$1,927.97	$3,452.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,083.80	Facility		$2,083.80	$2,083.80	$2,083.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,719.62 / $2,252.46 / $3,782.56	Professional		$1,719.62	$2,252.46	$3,782.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.81 / $2,992.26 / $3,732.30	Professional		$2,160.81	$2,992.26	$3,732.30
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 $1,642.59 / $1,946.01 / $7,799.00	Professional		$1,642.59	$1,946.01	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.50 / $2,155.50 / $3,712.50	Professional		$2,155.50	$2,155.50	$3,712.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,083.80	Facility		$2,083.80	$2,083.80	$2,083.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.62 / $2,294.36 / $3,857.86	Professional		$1,719.62	$2,294.36	$3,857.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,784.94 / $1,784.94 / $1,871.14	Facility		$1,784.94	$1,784.94	$1,871.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,710.39 / $1,813.54 / $1,887.76	Professional		$1,710.39	$1,813.54	$1,887.76
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 $1,677.95 / $2,239.21 / $3,526.77	Professional		$1,677.95	$2,239.21	$3,526.77