Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.61 / $2,747.00 / $8,247.00	Facility		$1,141.61	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.93 / $1,185.54 / $1,516.12	Professional		$1,031.93	$1,185.54	$1,516.12
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 $1,219.51 / $1,265.53 / $2,114.01	Professional		$1,219.51	$1,265.53	$2,114.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.44 / $1,379.44 / $1,379.44	Facility		$1,379.44	$1,379.44	$1,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.98 / $1,353.28 / $2,306.10	Professional		$1,014.98	$1,353.28	$2,306.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.57 / $1,956.16 / $2,493.44	Professional		$1,443.57	$1,956.16	$2,493.44
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 $1,069.22 / $1,279.15 / $5,958.00	Professional		$1,069.22	$1,279.15	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.90 / $1,313.90 / $2,516.50	Professional		$1,313.90	$1,313.90	$2,516.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,379.44 / $1,379.44 / $1,379.44	Facility		$1,379.44	$1,379.44	$1,379.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.11 / $1,380.57 / $2,405.80	Professional		$1,035.11	$1,380.57	$2,405.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,103.88 / $1,196.55 / $1,196.55	Facility		$1,103.88	$1,196.55	$1,196.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.88 / $1,196.55 / $1,269.84	Professional		$1,103.88	$1,196.55	$1,269.84
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 $1,024.58 / $1,385.54 / $2,246.59	Professional		$1,024.58	$1,385.54	$2,246.59