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 $2,228.07 / $2,544.14 / $3,613.76	Professional		$2,228.07	$2,544.14	$3,613.76
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 $2,471.35 / $2,564.61 / $4,623.29	Professional		$2,471.35	$2,564.61	$4,623.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,367.69 / $3,124.49 / $5,232.39	Professional		$2,367.69	$3,124.49	$5,232.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,901.03 / $3,941.93 / $5,010.87	Professional		$2,901.03	$3,941.93	$5,010.87
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 $2,228.07 / $2,794.04 / $6,370.00	Professional		$2,228.07	$2,794.04	$6,370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,833.80 / $2,833.80 / $5,559.80	Professional		$2,833.80	$2,833.80	$5,559.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.89 / $3,173.50 / $5,240.20	Professional		$2,367.89	$3,173.50	$5,240.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,414.84 / $2,414.84 / $2,792.19	Facility		$2,414.84	$2,414.84	$2,792.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,329.82 / $2,438.19 / $2,792.19	Professional		$2,329.82	$2,438.19	$2,792.19
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 $2,249.14 / $3,037.00 / $4,745.55	Professional		$2,249.14	$3,037.00	$4,745.55