Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $4,223.00 / $8,451.00	Facility		$1,519.00	$4,223.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.65 / $1,719.60 / $2,662.57	Professional		$1,532.65	$1,719.60	$2,662.57
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 $1,704.41 / $1,860.90 / $3,166.44	Professional		$1,704.41	$1,860.90	$3,166.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,928.89 / $1,928.89 / $1,928.89	Facility		$1,928.89	$1,928.89	$1,928.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.54 / $2,090.30 / $3,426.20	Professional		$1,625.54	$2,090.30	$3,426.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.63 / $2,722.79 / $3,462.54	Professional		$2,004.63	$2,722.79	$3,462.54
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 $1,532.65 / $1,767.33 / $3,632.21	Professional		$1,532.65	$1,767.33	$3,632.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,099.80 / $2,099.80 / $3,485.60	Professional		$2,099.80	$2,099.80	$3,485.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,928.89 / $1,928.89 / $1,928.89	Facility		$1,928.89	$1,928.89	$1,928.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.54 / $2,133.44 / $3,579.58	Professional		$1,625.54	$2,133.44	$3,579.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,662.75 / $1,662.75 / $1,752.29	Facility		$1,662.75	$1,662.75	$1,752.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,605.72 / $1,677.07 / $1,754.92	Professional		$1,605.72	$1,677.07	$1,754.92
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 $1,613.62 / $2,071.31 / $3,179.18	Professional		$1,613.62	$2,071.31	$3,179.18