Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,970.53 / $8,240.00	Facility		$1,426.00	$3,970.53	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,245.21 / $3,746.17 / $4,892.67	Professional		$3,245.21	$3,746.17	$4,892.67
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 $3,785.33 / $3,988.94 / $6,629.15	Professional		$3,785.33	$3,988.94	$6,629.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,298.76 / $4,298.76 / $4,298.76	Facility		$4,298.76	$4,298.76	$4,298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,414.52 / $4,397.43 / $7,471.71	Professional		$3,414.52	$4,397.43	$7,471.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,456.85 / $6,050.27 / $7,698.21	Professional		$4,456.85	$6,050.27	$7,698.21
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 $2,907.41 / $3,872.38 / $8,179.29	Professional		$2,907.41	$3,872.38	$8,179.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,456.50 / $4,456.50 / $7,772.30	Professional		$4,456.50	$4,456.50	$7,772.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,298.76 / $4,298.76 / $4,298.76	Facility		$4,298.76	$4,298.76	$4,298.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,414.52 / $4,544.21 / $7,715.37	Professional		$3,414.52	$4,544.21	$7,715.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,722.31 / $3,722.31 / $4,658.85	Facility		$3,722.31	$3,722.31	$4,658.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,598.22 / $3,750.96 / $4,658.85	Professional		$3,598.22	$3,750.96	$4,658.85
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 $3,547.17 / $4,635.97 / $7,099.02	Professional		$3,547.17	$4,635.97	$7,099.02