Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.26 / $2,747.00 / $8,247.00	Facility		$1,086.26	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.58 / $1,161.81 / $1,505.15	Professional		$1,051.58	$1,161.81	$1,505.15
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 $1,170.99 / $1,268.80 / $2,154.42	Professional		$1,170.99	$1,268.80	$2,154.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,324.04 / $1,324.04	Facility		$1,324.04	$1,324.04	$1,324.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.05 / $1,471.63 / $2,353.67	Professional		$1,122.05	$1,471.63	$2,353.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.15 / $1,871.76 / $2,382.16	Professional		$1,379.15	$1,871.76	$2,382.16
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 $1,051.58 / $1,242.47 / $5,739.78	Professional		$1,051.58	$1,242.47	$5,739.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.80 / $1,724.80 / $2,370.19	Professional		$1,724.80	$1,724.80	$2,370.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,324.04 / $1,324.04	Facility		$1,324.04	$1,324.04	$1,324.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.25 / $1,491.36 / $2,477.19	Professional		$1,120.25	$1,491.36	$2,477.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,141.56 / $1,141.56 / $1,222.75	Facility		$1,141.56	$1,141.56	$1,222.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,103.36 / $1,150.39 / $1,222.75	Professional		$1,103.36	$1,150.39	$1,222.75
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 $1,151.81 / $1,480.79 / $2,302.46	Professional		$1,151.81	$1,480.79	$2,302.46