Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.48 / $4,048.00 / $8,451.00	Facility		$1,450.48	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.46 / $1,412.19 / $2,048.60	Professional		$1,259.46	$1,412.19	$2,048.60
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 $1,400.98 / $1,453.85 / $1,453.85	Professional		$1,400.98	$1,453.85	$1,453.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,584.46	Facility		$1,584.46	$1,584.46	$1,584.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.47 / $1,716.98 / $2,774.75	Professional		$1,282.47	$1,716.98	$2,774.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.81 / $2,239.79 / $2,849.68	Professional		$1,649.81	$2,239.79	$2,849.68
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 $1,263.80 / $1,461.00 / $5,992.00	Professional		$1,263.80	$1,461.00	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,721.30 / $1,721.30 / $2,838.00	Professional		$1,721.30	$1,721.30	$2,838.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.46 / $1,584.46 / $1,584.46	Facility		$1,584.46	$1,584.46	$1,584.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.47 / $1,725.45 / $2,818.52	Professional		$1,282.47	$1,725.45	$2,818.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,366.12 / $1,366.12 / $1,481.55	Facility		$1,366.12	$1,366.12	$1,481.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,320.32 / $1,376.79 / $1,481.55	Professional		$1,320.32	$1,376.79	$1,481.55
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 $1,319.46 / $1,699.73 / $2,805.92	Professional		$1,319.46	$1,699.73	$2,805.92