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 $1,482.31 / $1,723.74 / $2,712.39	Professional		$1,482.31	$1,723.74	$2,712.39
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 $1,742.50 / $1,808.26 / $1,808.26	Professional		$1,742.50	$1,808.26	$1,808.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $1,980.56 / $1,980.56	Facility		$1,980.56	$1,980.56	$1,980.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.57 / $2,155.42 / $3,476.72	Professional		$1,591.57	$2,155.42	$3,476.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,088.98 / $2,949.17 / $3,608.23	Professional		$2,088.98	$2,949.17	$3,608.23
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 $1,482.31 / $1,849.58 / $5,278.46	Professional		$1,482.31	$1,849.58	$5,278.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,804.00 / $1,804.00 / $3,514.70	Professional		$1,804.00	$1,804.00	$3,514.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $1,980.56 / $1,980.56	Facility		$1,980.56	$1,980.56	$1,980.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.28 / $2,184.62 / $3,476.72	Professional		$1,599.28	$2,184.62	$3,476.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,591.38 / $1,695.96 / $1,695.96	Facility		$1,591.38	$1,695.96	$1,695.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,591.38 / $1,695.96 / $1,801.13	Professional		$1,591.38	$1,695.96	$1,801.13
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.69 / $2,183.01 / $3,270.48	Professional		$1,656.69	$2,183.01	$3,270.48