Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.34 / $4,048.00 / $8,451.00	Facility		$1,233.34	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.20 / $1,222.57 / $1,738.25	Professional		$1,072.20	$1,222.57	$1,738.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $25,716.00 / $39,341.64	Facility		$8,639.91	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,188.74 / $1,709.49 / $2,792.09	Professional		$1,188.74	$1,709.49	$2,792.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.78 / $1,346.78 / $1,346.78	Facility		$1,346.78	$1,346.78	$1,346.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.35 / $1,473.33 / $2,396.59	Professional		$1,146.35	$1,473.33	$2,396.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.67 / $1,898.28 / $2,414.16	Professional		$1,397.67	$1,898.28	$2,414.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,233.34 / $5,342.00 / $10,247.00	Facility		$1,233.34	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,073.04 / $1,339.32 / $5,835.65	Professional		$1,073.04	$1,339.32	$5,835.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.10 / $1,562.10 / $2,422.50	Professional		$1,562.10	$1,562.10	$2,422.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,346.78 / $1,346.78 / $1,346.78	Facility		$1,346.78	$1,346.78	$1,346.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.35 / $1,499.90 / $2,491.41	Professional		$1,146.35	$1,499.90	$2,491.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,162.03 / $1,162.03 / $1,404.31	Facility		$1,162.03	$1,162.03	$1,404.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.07 / $1,172.14 / $1,404.31	Professional		$1,122.07	$1,172.14	$1,404.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.33 / $1,467.82 / $2,352.51	Professional		$1,133.33	$1,467.82	$2,352.51