Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.99 / $2,926.00 / $8,427.00	Facility		$1,340.99	$2,926.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,307.84 / $1,896.32	Professional		$1,163.63	$1,307.84	$1,896.32
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 $1,296.83 / $1,394.34 / $2,391.92	Professional		$1,296.83	$1,394.34	$2,391.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,465.76	Facility		$1,465.76	$1,465.76	$1,465.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.43 / $1,580.72 / $2,605.75	Professional		$1,223.43	$1,580.72	$2,605.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.32 / $2,073.88 / $2,639.82	Professional		$1,528.32	$2,073.88	$2,639.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,894.00 / $10,247.00	Facility		$1,301.00	$4,894.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,166.10 / $1,418.72 / $5,992.00	Professional		$1,166.10	$1,418.72	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,567.80 / $1,567.80 / $2,652.50	Professional		$1,567.80	$1,567.80	$2,652.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,465.76 / $1,465.76 / $1,465.76	Facility		$1,465.76	$1,465.76	$1,465.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.43 / $1,608.13 / $2,702.29	Professional		$1,223.43	$1,608.13	$2,702.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,264.50 / $1,264.50 / $1,297.27	Facility		$1,264.50	$1,264.50	$1,297.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,222.04 / $1,273.92 / $1,336.84	Professional		$1,222.04	$1,273.92	$1,336.84
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 $1,182.86 / $1,571.93 / $2,628.95	Professional		$1,182.86	$1,571.93	$2,628.95