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 $2,044.97 / $2,285.89 / $3,199.14	Professional		$2,044.97	$2,285.89	$3,199.14
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 $2,333.53 / $2,421.58 / $4,001.30	Professional		$2,333.53	$2,421.58	$4,001.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,018.15 / $2,676.84 / $4,600.78	Professional		$2,018.15	$2,676.84	$4,600.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,795.38 / $3,952.37 / $4,828.38	Professional		$2,795.38	$3,952.37	$4,828.38
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 $2,044.97 / $2,433.56 / $7,799.00	Professional		$2,044.97	$2,433.56	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,121.69 / $2,121.69 / $4,653.20	Professional		$2,121.69	$2,121.69	$4,653.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,653.28 / $2,653.28 / $2,653.28	Facility		$2,653.28	$2,653.28	$2,653.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,035.46 / $2,742.63 / $4,603.18	Professional		$2,035.46	$2,742.63	$4,603.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,004.03 / $2,272.77 / $2,272.77	Facility		$2,004.03	$2,272.77	$2,272.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,004.03 / $2,272.77 / $2,411.60	Professional		$2,004.03	$2,272.77	$2,411.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,368.00 / $11,238.00	Facility		$3,340.00	$6,368.00	$11,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,956.71 / $2,811.52 / $4,706.43	Professional		$1,956.71	$2,811.52	$4,706.43