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 $2,525.92 / $2,775.64 / $4,092.79	Professional		$2,525.92	$2,775.64	$4,092.79
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 $2,798.94 / $2,904.56 / $2,904.56	Professional		$2,798.94	$2,904.56	$2,904.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,176.17 / $3,176.17 / $3,176.17	Facility		$3,176.17	$3,176.17	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,531.32 / $3,438.95 / $5,634.65	Professional		$2,531.32	$3,438.95	$5,634.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,283.23 / $4,462.81 / $5,671.03	Professional		$3,283.23	$4,462.81	$5,671.03
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 $2,525.92 / $2,899.74 / $5,992.00	Professional		$2,525.92	$2,899.74	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.40 / $1,999.40 / $5,735.40	Professional		$1,999.40	$1,999.40	$5,735.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,176.17 / $3,176.17 / $3,176.17	Facility		$3,176.17	$3,176.17	$3,176.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,531.32 / $3,464.92 / $5,637.72	Professional		$2,531.32	$3,464.92	$5,637.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,624.97 / $2,735.90 / $2,735.90	Facility		$2,624.97	$2,735.90	$2,735.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,624.97 / $2,735.90 / $2,881.67	Professional		$2,624.97	$2,735.90	$2,881.67
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 $2,485.44 / $3,336.61 / $5,679.03	Professional		$2,485.44	$3,336.61	$5,679.03