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 $2,018.51 / $2,258.04 / $3,223.33	Professional		$2,018.51	$2,258.04	$3,223.33
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 $2,332.67 / $2,420.69 / $4,311.13	Professional		$2,332.67	$2,420.69	$4,311.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.98 / $2,596.42 / $4,579.01	Professional		$1,959.98	$2,596.42	$4,579.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,796.26 / $3,948.29 / $4,829.89	Professional		$2,796.26	$3,948.29	$4,829.89
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 $2,018.51 / $2,370.25 / $9,462.00	Professional		$2,018.51	$2,370.25	$9,462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.20 / $1,920.20 / $4,659.10	Professional		$1,920.20	$1,920.20	$4,659.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,970.28 / $2,623.60 / $4,579.01	Professional		$1,970.28	$2,623.60	$4,579.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,498.74 / $2,271.38 / $2,271.38	Facility		$1,498.74	$2,271.38	$2,271.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,498.74 / $2,271.38 / $2,412.04	Professional		$1,498.74	$2,271.38	$2,412.04
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 $1,924.49 / $2,694.62 / $4,629.43	Professional		$1,924.49	$2,694.62	$4,629.43