Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.72 / $4,048.00 / $8,451.00	Facility		$1,162.72	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.76 / $1,099.49 / $1,644.69	Professional		$1,007.76	$1,099.49	$1,644.69
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 $1,124.76 / $1,167.20 / $2,064.39	Professional		$1,124.76	$1,167.20	$2,064.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.14 / $1,270.14 / $1,270.14	Facility		$1,270.14	$1,270.14	$1,270.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $1,347.58 / $2,180.02	Professional		$989.40	$1,347.58	$2,180.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.32 / $1,800.33 / $2,292.64	Professional		$1,327.32	$1,800.33	$2,292.64
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 $1,007.76 / $1,225.10 / $5,519.58	Professional		$1,007.76	$1,225.10	$5,519.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.30 / $1,224.30 / $2,300.30	Professional		$1,224.30	$1,224.30	$2,300.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.14 / $1,270.14 / $1,270.14	Facility		$1,270.14	$1,270.14	$1,270.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $993.29 / $1,379.41 / $2,210.59	Professional		$993.29	$1,379.41	$2,210.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,095.14 / $1,095.14 / $1,231.23	Facility		$1,095.14	$1,095.14	$1,231.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,059.69 / $1,102.36 / $1,231.23	Professional		$1,059.69	$1,102.36	$1,231.23
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 $992.24 / $1,322.98 / $2,123.76	Professional		$992.24	$1,322.98	$2,123.76