Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.91 / $2,747.00 / $8,247.00	Facility		$1,141.91	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.24 / $1,219.13 / $1,936.44	Professional		$1,068.24	$1,219.13	$1,936.44
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 $1,244.02 / $1,290.96 / $1,985.42	Professional		$1,244.02	$1,290.96	$1,985.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,407.20	Facility		$1,407.20	$1,407.20	$1,407.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.58 / $1,553.82 / $2,491.52	Professional		$1,161.58	$1,553.82	$2,491.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.09 / $1,987.79 / $2,528.88	Professional		$1,464.09	$1,987.79	$2,528.88
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 $1,075.00 / $1,301.34 / $5,958.00	Professional		$1,075.00	$1,301.34	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.10 / $1,515.10 / $2,563.60	Professional		$1,515.10	$1,515.10	$2,563.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $1,407.20 / $1,407.20	Facility		$1,407.20	$1,407.20	$1,407.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.92 / $1,583.29 / $2,499.16	Professional		$1,163.92	$1,583.29	$2,499.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,212.09 / $1,212.09 / $1,515.89	Facility		$1,212.09	$1,212.09	$1,515.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $1,221.94 / $1,515.89	Professional		$1,171.09	$1,221.94	$1,515.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.52 / $1,554.34 / $2,367.92	Professional		$1,203.52	$1,554.34	$2,367.92