Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.82 / $2,747.00 / $8,247.00	Facility		$1,268.82	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.96 / $1,306.23 / $2,119.54	Professional		$1,186.96	$1,306.23	$2,119.54
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 $1,397.97 / $1,450.72 / $2,589.53	Professional		$1,397.97	$1,450.72	$2,589.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $1,585.07 / $1,585.07	Facility		$1,585.07	$1,585.07	$1,585.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.70 / $1,644.53 / $2,726.68	Professional		$1,205.70	$1,644.53	$2,726.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,677.68 / $2,364.90 / $2,897.80	Professional		$1,677.68	$2,364.90	$2,897.80
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 $1,186.96 / $1,426.00 / $5,958.00	Professional		$1,186.96	$1,426.00	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.20 / $1,475.20 / $2,795.50	Professional		$1,475.20	$1,475.20	$2,795.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $1,585.07 / $1,585.07	Facility		$1,585.07	$1,585.07	$1,585.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.33 / $1,702.64 / $2,726.68	Professional		$1,229.33	$1,702.64	$2,726.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,334.40 / $1,359.12 / $1,359.12	Facility		$1,334.40	$1,359.12	$1,359.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,359.12 / $1,444.92	Professional		$1,294.33	$1,359.12	$1,444.92
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 $1,319.30 / $1,722.34 / $2,754.81	Professional		$1,319.30	$1,722.34	$2,754.81