Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.35 / $4,048.00 / $8,451.00	Facility		$1,294.35	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.38 / $1,248.56 / $1,850.34	Professional		$1,123.38	$1,248.56	$1,850.34
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 $1,250.92 / $1,298.11 / $2,223.79	Professional		$1,250.92	$1,298.11	$2,223.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.76 / $1,413.76 / $1,413.76	Facility		$1,413.76	$1,413.76	$1,413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.44 / $1,514.04 / $2,460.38	Professional		$1,124.44	$1,514.04	$2,460.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.80 / $2,000.25 / $2,545.66	Professional		$1,473.80	$2,000.25	$2,545.66
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 $1,123.38 / $1,426.00 / $5,992.00	Professional		$1,123.38	$1,426.00	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.20 / $1,287.20 / $2,552.19	Professional		$1,287.20	$1,287.20	$2,552.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,413.76 / $1,413.76 / $1,413.76	Facility		$1,413.76	$1,413.76	$1,413.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.99 / $1,542.98 / $2,515.14	Professional		$1,127.99	$1,542.98	$2,515.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,137.05 / $1,219.99 / $1,219.99	Facility		$1,137.05	$1,219.99	$1,219.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,137.05 / $1,219.99 / $1,289.49	Professional		$1,137.05	$1,219.99	$1,289.49
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 $1,087.01 / $1,473.93 / $2,375.46	Professional		$1,087.01	$1,473.93	$2,375.46