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 $1,063.45 / $1,191.41 / $1,800.74	Professional		$1,063.45	$1,191.41	$1,800.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,231.48 / $1,277.95 / $2,228.71	Professional		$1,231.48	$1,277.95	$2,228.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $1,391.04 / $1,391.04	Facility		$1,391.04	$1,391.04	$1,391.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.24 / $1,474.47 / $2,377.12	Professional		$1,055.24	$1,474.47	$2,377.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.36 / $1,970.37 / $2,508.63	Professional		$1,452.36	$1,970.37	$2,508.63
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 $1,068.00 / $1,276.83 / $5,800.44	Professional		$1,068.00	$1,276.83	$5,800.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.70 / $1,275.70 / $2,502.90	Professional		$1,275.70	$1,275.70	$2,502.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,391.04 / $1,391.04 / $1,391.04	Facility		$1,391.04	$1,391.04	$1,391.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.30 / $1,491.61 / $2,420.07	Professional		$1,084.30	$1,491.61	$2,420.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,082.42 / $1,199.99 / $1,199.99	Facility		$1,082.42	$1,199.99	$1,199.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,082.42 / $1,199.99 / $1,269.33	Professional		$1,082.42	$1,199.99	$1,269.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $2,824.00 / $5,678.00	Facility		$1,334.00	$2,824.00	$5,678.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.48 / $1,457.93 / $2,283.60	Professional		$1,097.48	$1,457.93	$2,283.60