Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $2,675.00 / $8,017.00	Facility		$1,089.00	$2,675.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.84 / $1,636.04 / $2,393.46	Professional		$1,496.84	$1,636.04	$2,393.46
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 $1,636.82 / $1,700.22 / $2,980.73	Professional		$1,636.82	$1,700.22	$2,980.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,857.88 / $1,857.88 / $1,857.88	Facility		$1,857.88	$1,857.88	$1,857.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.45 / $1,968.84 / $3,375.63	Professional		$1,455.45	$1,968.84	$3,375.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.06 / $2,626.46 / $3,349.28	Professional		$1,939.06	$2,626.46	$3,349.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $2,679.00 / $8,017.00	Facility		$1,013.00	$2,679.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,496.84 / $1,742.01 / $4,575.00	Professional		$1,496.84	$1,742.01	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.20 / $1,913.20 / $3,433.30	Professional		$1,913.20	$1,913.20	$3,433.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,857.88 / $1,857.88 / $1,857.88	Facility		$1,857.88	$1,857.88	$1,857.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.40 / $2,007.42 / $3,379.41	Professional		$1,479.40	$2,007.42	$3,379.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,620.07 / $1,620.07 / $1,886.77	Facility		$1,620.07	$1,620.07	$1,886.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,571.91 / $1,626.29 / $1,886.77	Professional		$1,571.91	$1,626.29	$1,886.77
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 $1,408.23 / $1,995.26 / $3,315.97	Professional		$1,408.23	$1,995.26	$3,315.97