Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.34 / $3,830.00 / $8,240.00	Facility		$1,167.34	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,136.20 / $1,634.52	Professional		$1,012.34	$1,136.20	$1,634.52
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 $1,126.70 / $1,216.26 / $2,064.05	Professional		$1,126.70	$1,216.26	$2,064.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $1,273.64 / $1,273.64	Facility		$1,273.64	$1,273.64	$1,273.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.13 / $1,423.06 / $2,268.35	Professional		$1,086.13	$1,423.06	$2,268.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.66 / $1,802.70 / $2,294.94	Professional		$1,328.66	$1,802.70	$2,294.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,167.34 / $4,597.00 / $8,404.00	Facility		$1,167.34	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,267.48 / $5,538.58	Professional		$1,012.34	$1,267.48	$5,538.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.00 / $1,588.00 / $2,290.90	Professional		$1,588.00	$1,588.00	$2,290.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $1,273.64 / $1,273.64	Facility		$1,273.64	$1,273.64	$1,273.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.13 / $1,434.94 / $2,336.80	Professional		$1,086.13	$1,434.94	$2,336.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,098.85 / $1,098.85 / $1,276.40	Facility		$1,098.85	$1,098.85	$1,276.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,062.84 / $1,106.57 / $1,276.40	Professional		$1,062.84	$1,106.57	$1,276.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.22 / $1,422.64 / $2,247.04	Professional		$1,068.22	$1,422.64	$2,247.04