Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.16 / $2,747.00 / $8,247.00	Facility		$1,297.16	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.47 / $1,396.67 / $2,225.34	Professional		$1,213.47	$1,396.67	$2,225.34
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 $1,429.61 / $1,483.56 / $2,315.36	Professional		$1,429.61	$1,483.56	$2,315.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $1,621.57 / $1,621.57	Facility		$1,621.57	$1,621.57	$1,621.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,293.57 / $1,754.27 / $2,849.08	Professional		$1,293.57	$1,754.27	$2,849.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.45 / $2,419.39 / $2,961.32	Professional		$1,714.45	$2,419.39	$2,961.32
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 $1,213.47 / $1,475.91 / $5,958.00	Professional		$1,213.47	$1,475.91	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.40 / $1,582.40 / $2,863.90	Professional		$1,582.40	$1,582.40	$2,863.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $1,621.57 / $1,621.57	Facility		$1,621.57	$1,621.57	$1,621.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.95 / $1,780.12 / $2,849.08	Professional		$1,297.95	$1,780.12	$2,849.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,389.79 / $1,389.79 / $1,738.30	Facility		$1,389.79	$1,389.79	$1,738.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,321.70 / $1,417.59 / $1,738.30	Professional		$1,321.70	$1,417.59	$1,738.30
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,391.00 / $6,322.00	Facility		$448.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.26 / $1,754.28 / $2,628.17	Professional		$1,290.26	$1,754.28	$2,628.17