Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $3,066.00 / $7,799.00	Facility		$1,119.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,171.88 / $1,730.19	Professional		$1,021.00	$1,171.88	$1,730.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,133.81 / $1,196.07 / $2,101.36	Professional		$1,133.81	$1,196.07	$2,101.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Facility		$1,285.67	$1,285.67	$1,285.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.28 / $1,391.94 / $2,287.85	Professional		$1,086.28	$1,391.94	$2,287.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.31 / $1,824.49 / $2,306.44	Professional		$1,335.31	$1,824.49	$2,306.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,054.66 / $1,240.63 / $3,496.84	Professional		$1,054.66	$1,240.63	$3,496.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.80 / $1,338.80 / $2,314.90	Professional		$1,338.80	$1,338.80	$2,314.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.67 / $1,285.67 / $1,285.67	Facility		$1,285.67	$1,285.67	$1,285.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.33 / $1,428.28 / $2,343.15	Professional		$1,093.33	$1,428.28	$2,343.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,104.00 / $1,104.00 / $1,144.69	Facility		$1,104.00	$1,104.00	$1,144.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,062.08 / $1,117.56 / $1,164.99	Professional		$1,062.08	$1,117.56	$1,164.99
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.23 / $1,377.61 / $2,237.37	Professional		$1,073.23	$1,377.61	$2,237.37