Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,451.00	Facility		$1,499.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.68 / $2,097.35 / $3,136.34	Professional		$1,872.68	$2,097.35	$3,136.34
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,079.06 / $2,157.52 / $2,157.52	Professional		$2,079.06	$2,157.52	$2,157.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.71 / $2,355.71 / $2,355.71	Facility		$2,355.71	$2,355.71	$2,355.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,993.11 / $2,625.27 / $4,182.22	Professional		$1,993.11	$2,625.27	$4,182.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.29 / $3,318.10 / $4,218.49	Professional		$2,442.29	$3,318.10	$4,218.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $4,993.00 / $10,247.00	Facility		$1,151.00	$4,993.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,872.68 / $2,365.04 / $6,392.27	Professional		$1,872.68	$2,365.04	$6,392.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.90 / $1,561.90 / $4,258.60	Professional		$1,561.90	$1,561.90	$4,258.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,355.71 / $2,355.71 / $2,355.71	Facility		$2,355.71	$2,355.71	$2,355.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,003.93 / $2,647.86 / $4,388.70	Professional		$2,003.93	$2,647.86	$4,388.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,029.75 / $2,029.75 / $2,246.62	Facility		$2,029.75	$2,029.75	$2,246.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,958.86 / $2,048.57 / $2,246.62	Professional		$1,958.86	$2,048.57	$2,246.62
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 $2,020.94 / $2,659.14 / $4,250.50	Professional		$2,020.94	$2,659.14	$4,250.50