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 $1,466.92 / $1,621.63 / $2,324.92	Professional		$1,466.92	$1,621.63	$2,324.92
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 $1,728.90 / $1,794.14 / $3,220.61	Professional		$1,728.90	$1,794.14	$3,220.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.51 / $1,963.51 / $1,963.51	Facility		$1,963.51	$1,963.51	$1,963.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.74 / $2,116.56 / $3,389.34	Professional		$1,442.74	$2,116.56	$3,389.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,072.92 / $2,926.81 / $3,580.51	Professional		$2,072.92	$2,926.81	$3,580.51
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 $1,469.60 / $1,762.03 / $5,958.00	Professional		$1,469.60	$1,762.03	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.70 / $1,724.70 / $3,485.70	Professional		$1,724.70	$1,724.70	$3,485.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,963.51 / $1,963.51 / $1,963.51	Facility		$1,963.51	$1,963.51	$1,963.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.08 / $2,144.98 / $3,407.74	Professional		$1,485.08	$2,144.98	$3,407.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,608.91 / $1,681.93 / $1,681.93	Facility		$1,608.91	$1,681.93	$1,681.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,599.36 / $1,681.93 / $1,786.31	Professional		$1,599.36	$1,681.93	$1,786.31
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 $1,619.14 / $2,054.65 / $3,242.79	Professional		$1,619.14	$2,054.65	$3,242.79