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 $2,873.61 / $3,348.43 / $5,094.55	Professional		$2,873.61	$3,348.43	$5,094.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,380.76 / $3,508.34 / $3,508.34	Professional		$3,380.76	$3,508.34	$3,508.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,837.41 / $3,837.41 / $3,837.41	Facility		$3,837.41	$3,837.41	$3,837.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,771.40 / $3,931.15 / $6,618.59	Professional		$2,771.40	$3,931.15	$6,618.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,985.31 / $5,408.32 / $6,883.72	Professional		$3,985.31	$5,408.32	$6,883.72
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 $2,779.42 / $3,507.06 / $7,313.04	Professional		$2,779.42	$3,507.06	$7,313.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,818.30 / $3,818.30 / $6,957.10	Professional		$3,818.30	$3,818.30	$6,957.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,837.41 / $3,837.41 / $3,837.41	Facility		$3,837.41	$3,837.41	$3,837.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.34 / $4,000.35 / $6,656.78	Professional		$2,856.34	$4,000.35	$6,656.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,324.60 / $3,324.60 / $3,989.61	Facility		$3,324.60	$3,324.60	$3,989.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,215.76 / $3,347.83 / $3,989.61	Professional		$3,215.76	$3,347.83	$3,989.61
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 $2,926.60 / $3,959.52 / $6,566.86	Professional		$2,926.60	$3,959.52	$6,566.86