Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $3,839.00 / $8,247.00	Facility		$1,426.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.48 / $1,558.27 / $2,337.41	Professional		$1,387.48	$1,558.27	$2,337.41
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 $1,545.40 / $1,642.38 / $2,861.39	Professional		$1,545.40	$1,642.38	$2,861.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,747.00	Facility		$1,747.00	$1,747.00	$1,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.92 / $1,895.30 / $3,104.55	Professional		$1,457.92	$1,895.30	$3,104.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.60 / $2,470.03 / $3,142.94	Professional		$1,819.60	$2,470.03	$3,142.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $4,745.10 / $8,427.00	Facility		$1,283.00	$4,745.10	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,387.48 / $1,610.14 / $5,958.00	Professional		$1,387.48	$1,610.14	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.50 / $1,841.50 / $3,162.30	Professional		$1,841.50	$1,841.50	$3,162.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,747.00	Facility		$1,747.00	$1,747.00	$1,747.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.92 / $1,928.26 / $3,218.53	Professional		$1,457.92	$1,928.26	$3,218.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,506.07 / $1,506.07 / $1,609.83	Facility		$1,506.07	$1,506.07	$1,609.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,455.43 / $1,517.99 / $1,609.83	Professional		$1,455.43	$1,517.99	$1,609.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,331.00 / $6,368.00	Facility		$2,155.00	$3,331.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,430.20 / $1,882.32 / $3,048.88	Professional		$1,430.20	$1,882.32	$3,048.88