Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.84 / $4,680.00 / $9,676.00	Facility		$1,490.84	$4,680.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.26 / $1,594.79 / $2,203.37	Professional		$1,443.26	$1,594.79	$2,203.37
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 $1,602.96 / $1,663.45 / $2,990.03	Professional		$1,602.96	$1,663.45	$2,990.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.97 / $1,815.97 / $1,815.97	Facility		$1,815.97	$1,815.97	$1,815.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.70 / $1,966.69 / $3,224.19	Professional		$1,517.70	$1,966.69	$3,224.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.62 / $2,558.67 / $3,253.52	Professional		$1,883.62	$2,558.67	$3,253.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,079.00 / $10,527.00	Facility		$1,301.00	$5,079.00	$10,527.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,443.26 / $1,664.07 / $6,370.00	Professional		$1,443.26	$1,664.07	$6,370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.50 / $1,494.50 / $3,284.70	Professional		$1,494.50	$1,494.50	$3,284.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,815.97 / $1,815.97 / $1,815.97	Facility		$1,815.97	$1,815.97	$1,815.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.70 / $1,997.28 / $3,381.21	Professional		$1,517.70	$1,997.28	$3,381.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,564.52 / $1,564.52 / $1,586.10	Facility		$1,564.52	$1,564.52	$1,586.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,509.99 / $1,578.71 / $1,650.15	Professional		$1,509.99	$1,578.71	$1,650.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.92 / $1,955.53 / $3,175.96	Professional		$1,456.92	$1,955.53	$3,175.96