Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.29 / $4,050.00 / $8,451.00	Facility		$1,261.29	$4,050.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.80 / $1,228.39 / $1,785.34	Professional		$1,092.80	$1,228.39	$1,785.34
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 $1,220.94 / $1,267.01 / $2,240.96	Professional		$1,220.94	$1,267.01	$2,240.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $1,378.21 / $1,378.21	Facility		$1,378.21	$1,378.21	$1,378.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.40 / $1,483.04 / $2,450.89	Professional		$1,138.40	$1,483.04	$2,450.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.39 / $1,954.51 / $2,489.67	Professional		$1,441.39	$1,954.51	$2,489.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,261.29 / $5,342.00 / $10,247.00	Facility		$1,261.29	$5,342.00	$10,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,092.80 / $1,331.81 / $5,989.49	Professional		$1,092.80	$1,331.81	$5,989.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.80 / $1,400.80 / $2,501.80	Professional		$1,400.80	$1,400.80	$2,501.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,378.21 / $1,378.21 / $1,378.21	Facility		$1,378.21	$1,378.21	$1,378.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.40 / $1,508.04 / $2,457.57	Professional		$1,138.40	$1,508.04	$2,457.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,187.82 / $1,187.82 / $1,222.97	Facility		$1,187.82	$1,187.82	$1,222.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,149.67 / $1,195.33 / $1,257.46	Professional		$1,149.67	$1,195.33	$1,257.46
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 $1,117.77 / $1,474.07 / $2,428.58	Professional		$1,117.77	$1,474.07	$2,428.58