Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.11 / $4,048.00 / $8,451.00	Facility		$1,267.11	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.88 / $1,232.78 / $1,788.95	Professional		$1,098.88	$1,232.78	$1,788.95
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 $1,223.41 / $1,300.92 / $2,227.62	Professional		$1,223.41	$1,300.92	$2,227.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,382.39	Facility		$1,382.39	$1,382.39	$1,382.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.16 / $1,486.70 / $2,462.21	Professional		$1,154.16	$1,486.70	$2,462.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.57 / $1,957.21 / $2,491.71	Professional		$1,442.57	$1,957.21	$2,491.71
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 $1,098.88 / $1,335.62 / $5,992.00	Professional		$1,098.88	$1,335.62	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.80 / $1,460.80 / $2,482.90	Professional		$1,460.80	$1,460.80	$2,482.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,382.39	Facility		$1,382.39	$1,382.39	$1,382.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.16 / $1,513.41 / $2,537.11	Professional		$1,154.16	$1,513.41	$2,537.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,192.29 / $1,192.29 / $1,346.62	Facility		$1,192.29	$1,192.29	$1,346.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,153.20 / $1,200.68 / $1,346.62	Professional		$1,153.20	$1,200.68	$1,346.62
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 $1,159.88 / $1,483.15 / $2,473.77	Professional		$1,159.88	$1,483.15	$2,473.77