Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $4,048.00 / $8,451.00	Facility		$1,461.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.24 / $1,416.90 / $1,951.89	Professional		$1,281.24	$1,416.90	$1,951.89
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 $1,423.05 / $1,476.75 / $1,476.75	Professional		$1,423.05	$1,476.75	$1,476.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,612.82 / $1,612.82 / $1,612.82	Facility		$1,612.82	$1,612.82	$1,612.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.80 / $1,690.72 / $2,842.25	Professional		$1,261.80	$1,690.72	$2,842.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.61 / $2,284.48 / $2,913.23	Professional		$1,686.61	$2,284.48	$2,913.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,993.00 / $10,247.00	Facility		$1,301.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,302.40 / $1,509.66 / $5,992.00	Professional		$1,302.40	$1,509.66	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.60 / $1,517.60 / $2,974.80	Professional		$1,517.60	$1,517.60	$2,974.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,612.82 / $1,612.82 / $1,612.82	Facility		$1,612.82	$1,612.82	$1,612.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.80 / $1,710.03 / $2,895.74	Professional		$1,261.80	$1,710.03	$2,895.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,343.02 / $1,405.73 / $1,405.73	Facility		$1,343.02	$1,405.73	$1,405.73
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,343.02 / $1,405.73 / $1,493.74	Professional		$1,343.02	$1,405.73	$1,493.74
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 $1,238.56 / $1,709.45 / $2,667.72	Professional		$1,238.56	$1,709.45	$2,667.72