Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.26 / $4,048.00 / $8,451.00	Facility		$1,159.26	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.66 / $1,128.70 / $1,637.85	Professional		$1,004.66	$1,128.70	$1,637.85
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 $1,120.08 / $1,419.00 / $2,047.50	Professional		$1,120.08	$1,419.00	$2,047.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.76 / $1,264.76 / $1,264.76	Facility		$1,264.76	$1,264.76	$1,264.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.83 / $1,353.14 / $2,252.63	Professional		$1,055.83	$1,353.14	$2,252.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.94 / $1,793.18 / $2,283.34	Professional		$1,321.94	$1,793.18	$2,283.34
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 $1,004.66 / $1,218.83 / $5,503.90	Professional		$1,004.66	$1,218.83	$5,503.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.00 / $1,274.00 / $2,278.40	Professional		$1,274.00	$1,274.00	$2,278.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,264.76 / $1,264.76 / $1,264.76	Facility		$1,264.76	$1,264.76	$1,264.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.83 / $1,386.59 / $2,317.55	Professional		$1,055.83	$1,386.59	$2,317.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,091.46 / $1,091.46 / $1,176.69	Facility		$1,091.46	$1,091.46	$1,176.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,056.15 / $1,098.65 / $1,176.69	Professional		$1,056.15	$1,098.65	$1,176.69
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 $1,024.83 / $1,353.31 / $2,194.05	Professional		$1,024.83	$1,353.31	$2,194.05