Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.81 / $2,747.00 / $8,247.00	Facility		$1,043.81	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,119.34 / $1,649.51	Professional		$1,010.50	$1,119.34	$1,649.51
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 $1,128.05 / $1,198.75 / $2,071.39	Professional		$1,128.05	$1,198.75	$2,071.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.51 / $1,368.92 / $2,228.36	Professional		$1,023.51	$1,368.92	$2,228.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,331.20 / $1,805.60 / $2,299.34	Professional		$1,331.20	$1,805.60	$2,299.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,168.41 / $5,534.41	Professional		$1,010.50	$1,168.41	$5,534.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.90 / $1,350.90 / $2,305.80	Professional		$1,350.90	$1,350.90	$2,305.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.29 / $1,387.63 / $2,265.44	Professional		$1,036.29	$1,387.63	$2,265.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,098.08 / $1,098.08 / $1,268.58	Facility		$1,098.08	$1,098.08	$1,268.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,062.46 / $1,105.40 / $1,268.58	Professional		$1,062.46	$1,105.40	$1,268.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $4,563.00 / $8,261.00	Facility		$2,228.00	$4,563.00	$8,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,362.80 / $2,095.01	Professional		$1,035.00	$1,362.80	$2,095.01