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 $2,150.81 / $2,490.17 / $3,793.94	Professional		$2,150.81	$2,490.17	$3,793.94
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 $2,510.28 / $2,605.01 / $2,605.01	Professional		$2,510.28	$2,605.01	$2,605.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.41 / $2,847.41 / $2,847.41	Facility		$2,847.41	$2,847.41	$2,847.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.68 / $2,786.91 / $4,953.32	Professional		$1,664.68	$2,786.91	$4,953.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,945.89 / $4,003.28 / $5,088.35	Professional		$2,945.89	$4,003.28	$5,088.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,342.00 / $10,247.00	Facility		$1,301.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,150.81 / $2,616.00 / $7,722.92	Professional		$2,150.81	$2,616.00	$7,722.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.00 / $1,939.00 / $5,145.50	Professional		$1,939.00	$1,939.00	$5,145.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,847.41 / $2,847.41 / $2,847.41	Facility		$2,847.41	$2,847.41	$2,847.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.98 / $2,962.44 / $5,052.82	Professional		$1,846.98	$2,962.44	$5,052.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,593.74 / $2,453.56 / $2,453.56	Facility		$1,593.74	$2,453.56	$2,453.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,593.74 / $2,453.56 / $2,585.25	Professional		$1,593.74	$2,453.56	$2,585.25
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 $1,765.18 / $2,920.31 / $4,825.47	Professional		$1,765.18	$2,920.31	$4,825.47