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 / $8,247.00	Facility		$1,301.00	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.16 / $1,548.39 / $2,507.39	Professional		$1,369.16	$1,548.39	$2,507.39
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 $1,610.81 / $1,671.59 / $1,671.59	Professional		$1,610.81	$1,671.59	$1,671.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,828.45 / $1,828.45 / $1,828.45	Facility		$1,828.45	$1,828.45	$1,828.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.17 / $1,968.41 / $3,211.88	Professional		$1,407.17	$1,968.41	$3,211.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.85 / $2,725.63 / $3,336.84	Professional		$1,931.85	$2,725.63	$3,336.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,369.16 / $1,642.71 / $5,958.00	Professional		$1,369.16	$1,642.71	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,703.30 / $1,703.30 / $3,248.40	Professional		$1,703.30	$1,703.30	$3,248.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.45 / $1,828.45 / $1,828.45	Facility		$1,828.45	$1,828.45	$1,828.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.17 / $2,010.13 / $3,211.88	Professional		$1,407.17	$2,010.13	$3,211.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,566.77 / $1,566.77 / $1,613.38	Facility		$1,566.77	$1,566.77	$1,613.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,490.57 / $1,598.11 / $1,664.60	Professional		$1,490.57	$1,598.11	$1,664.60
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 $1,510.57 / $1,989.98 / $3,154.94	Professional		$1,510.57	$1,989.98	$3,154.94