Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $4,048.00 / $8,451.00	Facility		$1,461.00	$4,048.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.52 / $1,523.40 / $2,226.19	Professional		$1,300.52	$1,523.40	$2,226.19
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 $1,536.06 / $1,594.02 / $2,847.71	Professional		$1,536.06	$1,594.02	$2,847.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.91 / $1,700.19 / $3,017.63	Professional		$1,038.91	$1,700.19	$3,017.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.29 / $2,455.09 / $3,123.41	Professional		$1,808.29	$2,455.09	$3,123.41
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 $1,379.71 / $1,591.83 / $5,992.00	Professional		$1,379.71	$1,591.83	$5,992.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.09 / $1,274.09 / $3,146.40	Professional		$1,274.09	$1,274.09	$3,146.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,736.58 / $1,736.58 / $1,736.58	Facility		$1,736.58	$1,736.58	$1,736.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.51 / $1,775.30 / $3,086.68	Professional		$1,128.51	$1,775.30	$3,086.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,152.36 / $1,497.42 / $1,497.42	Facility		$1,152.36	$1,497.42	$1,497.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,152.36 / $1,497.42 / $1,581.61	Professional		$1,152.36	$1,497.42	$1,581.61
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 $1,107.54 / $1,780.40 / $2,863.71	Professional		$1,107.54	$1,780.40	$2,863.71