Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,066.00 / $7,799.00	Facility		$1,216.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.94 / $1,457.92 / $2,148.59	Professional		$1,237.94	$1,457.92	$2,148.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,469.36 / $1,524.81 / $2,724.04	Professional		$1,469.36	$1,524.81	$2,724.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,662.01 / $1,662.01 / $1,662.01	Facility		$1,662.01	$1,662.01	$1,662.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.89 / $1,627.21 / $2,888.06	Professional		$991.89	$1,627.21	$2,888.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.66 / $2,347.98 / $2,987.60	Professional		$1,729.66	$2,347.98	$2,987.60
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 $1,321.30 / $1,525.94 / $5,823.00	Professional		$1,321.30	$1,525.94	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.40 / $1,214.40 / $3,010.00	Professional		$1,214.40	$1,214.40	$3,010.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,662.01 / $1,662.01 / $1,662.01	Facility		$1,662.01	$1,662.01	$1,662.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.76 / $1,733.99 / $2,956.41	Professional		$1,141.76	$1,733.99	$2,956.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,433.05 / $1,433.05 / $1,551.26	Facility		$1,433.05	$1,433.05	$1,551.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,384.65 / $1,444.60 / $1,551.26	Professional		$1,384.65	$1,444.60	$1,551.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.00 / $1,585.72 / $2,653.36	Professional		$958.00	$1,585.72	$2,653.36