Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.15 / $4,048.00 / $8,451.00	Facility		$1,469.15	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.50 / $1,574.33 / $2,475.94	Professional		$1,419.50	$1,574.33	$2,475.94
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 $1,582.19 / $1,725.09 / $2,935.63	Professional		$1,582.19	$1,725.09	$2,935.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.55 / $1,898.90 / $3,109.61	Professional		$1,386.55	$1,898.90	$3,109.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.71 / $2,527.84 / $3,215.67	Professional		$1,861.71	$2,527.84	$3,215.67
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 $1,419.50 / $1,636.15 / $5,958.00	Professional		$1,419.50	$1,636.15	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.20 / $1,956.20 / $3,237.60	Professional		$1,956.20	$1,956.20	$3,237.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.02 / $1,790.02 / $1,790.02	Facility		$1,790.02	$1,790.02	$1,790.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.28 / $1,938.48 / $3,180.71	Professional		$1,409.28	$1,938.48	$3,180.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,543.58 / $1,543.58 / $1,658.45	Facility		$1,543.58	$1,543.58	$1,658.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,491.04 / $1,556.45 / $1,658.45	Professional		$1,491.04	$1,556.45	$1,658.45
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 $1,416.58 / $1,924.95 / $3,223.00	Professional		$1,416.58	$1,924.95	$3,223.00