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 $1,727.63 / $2,036.46 / $2,998.34	Professional		$1,727.63	$2,036.46	$2,998.34
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 $2,050.46 / $2,127.85 / $3,827.02	Professional		$2,050.46	$2,127.85	$3,827.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.98 / $2,322.98 / $2,322.98	Facility		$2,322.98	$2,322.98	$2,322.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.79 / $2,250.75 / $4,031.41	Professional		$1,054.79	$2,250.75	$4,031.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,408.98 / $3,273.06 / $4,160.97	Professional		$2,408.98	$3,273.06	$4,160.97
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 $1,749.62 / $2,128.94 / $5,992.00	Professional		$1,749.62	$2,128.94	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.09 / $1,253.09 / $4,200.10	Professional		$1,253.09	$1,253.09	$4,200.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,322.98 / $2,322.98 / $2,322.98	Facility		$2,322.98	$2,322.98	$2,322.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.21 / $2,321.30 / $4,116.82	Professional		$1,162.21	$2,321.30	$4,116.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,108.39 / $2,001.21 / $2,001.21	Facility		$1,108.39	$2,001.21	$2,001.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.39 / $2,001.21 / $2,110.29	Professional		$1,108.39	$2,001.21	$2,110.29
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 $1,076.80 / $2,398.67 / $4,065.60	Professional		$1,076.80	$2,398.67	$4,065.60