Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,066.00 / $7,799.00	Facility		$1,216.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.65 / $1,353.78 / $1,995.68	Professional		$1,130.65	$1,353.78	$1,995.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,427.35 / $1,481.22 / $2,478.73	Professional		$1,427.35	$1,481.22	$2,478.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.43 / $1,614.43 / $1,614.43	Facility		$1,614.43	$1,614.43	$1,614.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.82 / $1,545.18 / $2,720.09	Professional		$997.82	$1,545.18	$2,720.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,680.34 / $2,281.10 / $2,902.40	Professional		$1,680.34	$2,281.10	$2,902.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,017.00	Facility		$1,020.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,204.71 / $1,441.61 / $4,157.49	Professional		$1,204.71	$1,441.61	$4,157.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.30 / $1,220.30 / $2,749.00	Professional		$1,220.30	$1,220.30	$2,749.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,614.43 / $1,614.43 / $1,614.43	Facility		$1,614.43	$1,614.43	$1,614.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.42 / $1,615.87 / $2,801.51	Professional		$1,117.42	$1,615.87	$2,801.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,026.84 / $1,310.10 / $1,310.10	Facility		$1,026.84	$1,310.10	$1,310.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,026.84 / $1,310.10 / $1,380.62	Professional		$1,026.84	$1,310.10	$1,380.62
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 $1,085.20 / $1,565.00 / $2,639.58	Professional		$1,085.20	$1,565.00	$2,639.58