Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,747.00 / $8,451.00	Facility		$1,301.00	$2,747.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.14 / $1,528.68 / $2,277.94	Professional		$1,292.14	$1,528.68	$2,277.94
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 $1,463.40 / $1,612.04 / $2,771.99	Professional		$1,463.40	$1,612.04	$2,771.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $1,657.43	Facility		$1,657.43	$1,657.43	$1,657.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.30 / $1,851.74 / $3,067.06	Professional		$1,386.30	$1,851.74	$3,067.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.60 / $2,335.77 / $2,970.21	Professional		$1,719.60	$2,335.77	$2,970.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,524.00	Facility		$1,013.00	$4,761.00	$8,524.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,696.27 / $5,958.00	Professional		$1,305.00	$1,696.27	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.50 / $1,805.50 / $3,026.80	Professional		$1,805.50	$1,805.50	$3,026.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $1,657.43	Facility		$1,657.43	$1,657.43	$1,657.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.45 / $1,884.96 / $3,093.48	Professional		$1,389.45	$1,884.96	$3,093.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,496.12 / $1,496.12 / $1,677.51	Facility		$1,496.12	$1,496.12	$1,677.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,429.93 / $1,524.02 / $1,677.51	Professional		$1,429.93	$1,524.02	$1,677.51
United Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,391.00 / $6,322.00	Facility		$618.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.63 / $1,913.40 / $2,823.51	Professional		$1,455.63	$1,913.40	$2,823.51