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 $1,935.86 / $2,166.52 / $3,140.38	Professional		$1,935.86	$2,166.52	$3,140.38
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 $2,147.61 / $2,357.08 / $4,022.54	Professional		$2,147.61	$2,357.08	$4,022.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,435.28	Facility		$2,435.28	$2,435.28	$2,435.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.48 / $2,654.18 / $4,320.26	Professional		$2,070.48	$2,654.18	$4,320.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.63 / $3,425.50 / $4,353.81	Professional		$2,520.63	$3,425.50	$4,353.81
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 $1,935.86 / $2,234.77 / $6,370.00	Professional		$1,935.86	$2,234.77	$6,370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,637.10 / $2,637.10 / $4,467.10	Professional		$2,637.10	$2,637.10	$4,467.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,435.28 / $2,435.28 / $2,435.28	Facility		$2,435.28	$2,435.28	$2,435.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.48 / $2,708.08 / $4,545.89	Professional		$2,070.48	$2,708.08	$4,545.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,097.01 / $2,097.01 / $2,602.42	Facility		$2,097.01	$2,097.01	$2,602.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,023.17 / $2,117.41 / $2,602.42	Professional		$2,023.17	$2,117.41	$2,602.42
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 $2,037.20 / $2,633.16 / $4,268.24	Professional		$2,037.20	$2,633.16	$4,268.24