Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,830.00 / $8,240.00	Facility		$1,426.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,980.91 / $3,271.66 / $4,784.18	Professional		$2,980.91	$3,271.66	$4,784.18
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 $3,271.76 / $3,395.23 / $6,034.83	Professional		$3,271.76	$3,395.23	$6,034.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,714.84 / $3,714.84 / $3,714.84	Facility		$3,714.84	$3,714.84	$3,714.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,934.00 / $3,926.93 / $6,460.24	Professional		$2,934.00	$3,926.93	$6,460.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,855.47 / $5,232.72 / $6,659.44	Professional		$3,855.47	$5,232.72	$6,659.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,781.93 / $3,379.55 / $7,080.80	Professional		$2,781.93	$3,379.55	$7,080.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,770.50 / $3,770.50 / $6,734.10	Professional		$3,770.50	$3,770.50	$6,734.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,714.84 / $3,714.84 / $3,714.84	Facility		$3,714.84	$3,714.84	$3,714.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,934.00 / $4,045.33 / $6,679.18	Professional		$2,934.00	$4,045.33	$6,679.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,218.88 / $3,218.88 / $3,926.35	Facility		$3,218.88	$3,218.88	$3,926.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,113.19 / $3,242.02 / $3,926.35	Professional		$3,113.19	$3,242.02	$3,926.35
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 $3,002.65 / $3,994.35 / $6,248.83	Professional		$3,002.65	$3,994.35	$6,248.83