Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.13 / $4,050.00 / $8,933.00	Facility		$1,413.13	$4,050.00	$8,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.26 / $1,384.23 / $2,154.48	Professional		$1,188.26	$1,384.23	$2,154.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,384.10 / $1,463.12 / $2,602.51	Professional		$1,384.10	$1,463.12	$2,602.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,570.90	Facility		$1,570.90	$1,570.90	$1,570.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.75 / $1,738.69 / $2,804.98	Professional		$1,305.75	$1,738.69	$2,804.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.97 / $2,273.58 / $2,837.86	Professional		$1,642.97	$2,273.58	$2,837.86
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 $1,210.56 / $1,560.81 / $7,107.41	Professional		$1,210.56	$1,560.81	$7,107.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.60 / $1,642.60 / $2,860.20	Professional		$1,642.60	$1,642.60	$2,860.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,570.90	Facility		$1,570.90	$1,570.90	$1,570.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.75 / $1,762.76 / $2,830.76	Professional		$1,305.75	$1,762.76	$2,830.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,353.53 / $1,353.53 / $1,870.68	Facility		$1,353.53	$1,353.53	$1,870.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,296.64 / $1,375.53 / $1,870.68	Professional		$1,296.64	$1,375.53	$1,870.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,515.00 / $22,992.86	Facility		$2,468.00	$6,515.00	$22,992.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.99 / $1,766.98 / $2,610.69	Professional		$1,379.99	$1,766.98	$2,610.69