Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,839.00 / $8,451.00	Facility		$1,499.00	$3,839.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.17 / $1,546.33 / $2,220.31	Professional		$1,398.17	$1,546.33	$2,220.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,533.16 / $1,591.02 / $2,739.35	Professional		$1,533.16	$1,591.02	$2,739.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.96 / $1,736.96 / $1,736.96	Facility		$1,736.96	$1,736.96	$1,736.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.51 / $1,793.92 / $3,068.06	Professional		$1,234.51	$1,793.92	$3,068.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.71 / $2,463.21 / $3,141.40	Professional		$1,818.71	$2,463.21	$3,141.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,894.00 / $10,247.00	Facility		$1,301.00	$4,894.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,398.17 / $1,621.52 / $5,992.00	Professional		$1,398.17	$1,621.52	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.00 / $1,629.00 / $3,197.50	Professional		$1,629.00	$1,629.00	$3,197.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,736.96 / $1,736.96 / $1,736.96	Facility		$1,736.96	$1,736.96	$1,736.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.85 / $1,830.54 / $3,135.21	Professional		$1,325.85	$1,830.54	$3,135.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,363.96 / $1,510.13 / $1,510.13	Facility		$1,363.96	$1,510.13	$1,510.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,363.96 / $1,510.13 / $1,605.53	Professional		$1,363.96	$1,510.13	$1,605.53
United Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $2,391.00 / $4,789.00	Facility		$814.00	$2,391.00	$4,789.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,313.67 / $1,757.90 / $3,139.26	Professional		$1,313.67	$1,757.90	$3,139.26