Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $4,048.00 / $8,933.00	Facility		$1,499.00	$4,048.00	$8,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.99 / $1,757.90 / $2,978.22	Professional		$1,500.99	$1,757.90	$2,978.22
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 $1,766.91 / $1,833.59 / $3,285.50	Professional		$1,766.91	$1,833.59	$3,285.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.49 / $1,956.48 / $3,472.32	Professional		$1,162.49	$1,956.48	$3,472.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,078.08 / $2,822.55 / $3,589.40	Professional		$2,078.08	$2,822.55	$3,589.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,342.00 / $10,247.00	Facility		$1,301.00	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,588.34 / $1,932.23 / $5,958.00	Professional		$1,588.34	$1,932.23	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.70 / $1,414.70 / $3,619.10	Professional		$1,414.70	$1,414.70	$3,619.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,999.50 / $1,999.50 / $1,999.50	Facility		$1,999.50	$1,999.50	$1,999.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.92 / $2,044.09 / $3,550.40	Professional		$1,257.92	$2,044.09	$3,550.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.16 / $1,723.59 / $1,723.59	Facility		$1,230.16	$1,723.59	$1,723.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.16 / $1,723.59 / $1,819.09	Professional		$1,230.16	$1,723.59	$1,819.09
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 $1,223.05 / $2,020.65 / $3,372.27	Professional		$1,223.05	$2,020.65	$3,372.27