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 $2,026.21 / $2,204.34 / $3,085.47	Professional		$2,026.21	$2,204.34	$3,085.47
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 $2,277.73 / $2,363.67 / $3,861.10	Professional		$2,277.73	$2,363.67	$3,861.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.18 / $2,578.56 / $4,394.55	Professional		$1,908.18	$2,578.56	$4,394.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,730.78 / $3,855.35 / $4,716.81	Professional		$2,730.78	$3,855.35	$4,716.81
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 $2,026.21 / $2,346.57 / $9,462.00	Professional		$2,026.21	$2,346.57	$9,462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $4,262.20 / $5,667.80	Professional		$8.00	$4,262.20	$5,667.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,586.94 / $2,586.94 / $2,586.94	Facility		$2,586.94	$2,586.94	$2,586.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,927.02 / $2,680.95 / $4,394.55	Professional		$1,927.02	$2,680.95	$4,394.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,459.49 / $2,216.91 / $2,216.91	Facility		$1,459.49	$2,216.91	$2,216.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,459.49 / $2,216.91 / $2,354.46	Professional		$1,459.49	$2,216.91	$2,354.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $4,563.00 / $9,631.00	Facility		$2,468.00	$4,563.00	$9,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,881.86 / $2,664.51 / $4,281.14	Professional		$1,881.86	$2,664.51	$4,281.14