Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.56 / $3,612.00 / $8,240.00	Facility		$1,175.56	$3,612.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.38 / $1,132.14 / $1,575.42	Professional		$1,034.38	$1,132.14	$1,575.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,127.89 / $1,221.64 / $2,082.55	Professional		$1,127.89	$1,221.64	$2,082.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,273.91	Facility		$1,273.91	$1,273.91	$1,273.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.98 / $1,380.61 / $2,284.29	Professional		$1,056.98	$1,380.61	$2,284.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.91 / $1,718.86 / $2,264.31	Professional		$1,310.91	$1,718.86	$2,264.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,068.48 / $4,534.00 / $8,404.00	Facility		$1,068.48	$4,534.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,034.38 / $1,286.00 / $5,691.57	Professional		$1,034.38	$1,286.00	$5,691.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.20 / $1,472.20 / $2,350.30	Professional		$1,472.20	$1,472.20	$2,350.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,273.91	Facility		$1,273.91	$1,273.91	$1,273.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.98 / $1,410.79 / $2,382.84	Professional		$1,056.98	$1,410.79	$2,382.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,098.08 / $1,098.08 / $1,345.83	Facility		$1,098.08	$1,098.08	$1,345.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,075.93 / $1,098.08 / $1,345.83	Professional		$1,075.93	$1,098.08	$1,345.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.58 / $1,364.00 / $2,215.26	Professional		$1,050.58	$1,364.00	$2,215.26