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 $2,784.21 / $3,221.21 / $4,183.55	Professional		$2,784.21	$3,221.21	$4,183.55
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 $3,250.01 / $3,372.66 / $5,994.17	Professional		$3,250.01	$3,372.66	$5,994.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,690.11 / $3,690.11 / $3,690.11	Facility		$3,690.11	$3,690.11	$3,690.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,735.37 / $3,698.97 / $6,372.64	Professional		$2,735.37	$3,698.97	$6,372.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,829.87 / $5,198.32 / $6,615.23	Professional		$3,829.87	$5,198.32	$6,615.23
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 $2,733.44 / $3,375.27 / $7,033.13	Professional		$2,733.44	$3,375.27	$7,033.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,584.30 / $3,584.30 / $6,688.70	Professional		$3,584.30	$3,584.30	$6,688.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,690.11 / $3,690.11 / $3,690.11	Facility		$3,690.11	$3,690.11	$3,690.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,771.94 / $3,780.94 / $6,392.99	Professional		$2,771.94	$3,780.94	$6,392.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,197.68 / $3,197.68 / $3,916.06	Facility		$3,197.68	$3,197.68	$3,916.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,092.34 / $3,220.70 / $3,916.06	Professional		$3,092.34	$3,220.70	$3,916.06
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 $2,730.10 / $3,678.19 / $6,093.28	Professional		$2,730.10	$3,678.19	$6,093.28