Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $4,051.00 / $9,617.00	Facility		$1,461.00	$4,051.00	$9,617.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.36 / $1,553.41 / $2,251.58	Professional		$1,383.36	$1,553.41	$2,251.58
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 $1,539.79 / $2,210.37 / $2,995.53	Professional		$1,539.79	$2,210.37	$2,995.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.23 / $1,959.65 / $3,213.26	Professional		$1,482.23	$1,959.65	$3,213.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.78 / $2,450.65 / $3,125.98	Professional		$1,809.78	$2,450.65	$3,125.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,350.00 / $10,510.00	Facility		$1,301.00	$5,350.00	$10,510.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,390.33 / $1,621.00 / $5,992.00	Professional		$1,390.33	$1,621.00	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,113.70 / $3,887.40	Professional		$7.00	$3,113.70	$3,887.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,740.42 / $1,740.42 / $1,740.42	Facility		$1,740.42	$1,740.42	$1,740.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.23 / $1,967.49 / $3,261.69	Professional		$1,482.23	$1,967.49	$3,261.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,411.83 / $1,503.08 / $1,503.08	Facility		$1,411.83	$1,503.08	$1,503.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,411.83 / $1,503.08 / $1,586.67	Professional		$1,411.83	$1,503.08	$1,586.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,368.00 / $11,197.00	Facility		$3,340.00	$6,368.00	$11,197.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,463.86 / $1,933.25 / $3,196.90	Professional		$1,463.86	$1,933.25	$3,196.90