Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,223.00 / $8,451.00	Facility		$1,499.00	$4,223.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.32 / $1,494.85 / $2,203.40	Professional		$1,275.32	$1,494.85	$2,203.40
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 $1,506.84 / $1,563.71 / $2,793.23	Professional		$1,506.84	$1,563.71	$2,793.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.48 / $1,703.48 / $1,703.48	Facility		$1,703.48	$1,703.48	$1,703.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.37 / $1,657.59 / $2,960.40	Professional		$937.37	$1,657.59	$2,960.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,774.04 / $2,408.06 / $3,064.24	Professional		$1,774.04	$2,408.06	$3,064.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,948.30 / $10,247.00	Facility		$1,301.00	$4,948.30	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,353.20 / $1,558.77 / $5,992.00	Professional		$1,353.20	$1,558.77	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.59 / $1,162.59 / $3,088.50	Professional		$1,162.59	$1,162.59	$3,088.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,703.48 / $1,703.48 / $1,703.48	Facility		$1,703.48	$1,703.48	$1,703.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,741.79 / $3,027.62	Professional		$1,025.00	$1,741.79	$3,027.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $986.61 / $1,469.19 / $1,469.19	Facility		$986.61	$1,469.19	$1,469.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $986.61 / $1,469.19 / $1,551.97	Professional		$986.61	$1,469.19	$1,551.97
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 $963.86 / $1,654.08 / $2,898.57	Professional		$963.86	$1,654.08	$2,898.57