Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,680.00 / $9,676.00	Facility		$1,499.00	$4,680.00	$9,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.15 / $1,657.10 / $2,401.98	Professional		$1,477.15	$1,657.10	$2,401.98
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 $1,642.65 / $1,704.64 / $3,049.70	Professional		$1,642.65	$1,704.64	$3,049.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,859.26	Facility		$1,859.26	$1,859.26	$1,859.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.71 / $2,014.39 / $3,302.78	Professional		$1,527.71	$2,014.39	$3,302.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.30 / $2,623.82 / $3,337.62	Professional		$1,932.30	$2,623.82	$3,337.62
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 $1,477.15 / $1,699.73 / $6,370.00	Professional		$1,477.15	$1,699.73	$6,370.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.40 / $1,505.40 / $3,361.60	Professional		$1,505.40	$1,505.40	$3,361.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,859.26 / $1,859.26 / $1,859.26	Facility		$1,859.26	$1,859.26	$1,859.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.42 / $2,061.03 / $3,450.10	Professional		$1,528.42	$2,061.03	$3,450.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,595.74 / $1,603.30 / $1,603.30	Facility		$1,595.74	$1,603.30	$1,603.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.46 / $1,603.30 / $1,692.54	Professional		$1,548.46	$1,603.30	$1,692.54
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 $1,504.02 / $1,960.33 / $3,193.67	Professional		$1,504.02	$1,960.33	$3,193.67