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 $1,807.75 / $2,000.48 / $2,934.88	Professional		$1,807.75	$2,000.48	$2,934.88
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 $2,007.08 / $2,142.69 / $3,659.28	Professional		$2,007.08	$2,142.69	$3,659.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,274.10 / $2,274.10 / $2,274.10	Facility		$2,274.10	$2,274.10	$2,274.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.68 / $2,510.66 / $4,251.58	Professional		$1,905.68	$2,510.66	$4,251.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,358.03 / $3,203.43 / $4,072.95	Professional		$2,358.03	$3,203.43	$4,072.95
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 $1,807.75 / $2,100.33 / $9,462.00	Professional		$1,807.75	$2,100.33	$9,462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.19 / $2,389.19 / $4,121.10	Professional		$2,389.19	$2,389.19	$4,121.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,274.10 / $2,274.10 / $2,274.10	Facility		$2,274.10	$2,274.10	$2,274.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.68 / $2,556.17 / $4,251.58	Professional		$1,905.68	$2,556.17	$4,251.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,959.25 / $1,959.25 / $1,959.25	Facility		$1,959.25	$1,959.25	$1,959.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,891.25 / $1,977.23 / $2,066.15	Professional		$1,891.25	$1,977.23	$2,066.15
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 $1,869.85 / $2,427.69 / $3,915.40	Professional		$1,869.85	$2,427.69	$3,915.40