Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,042.54 / $8,247.00	Facility		$1,301.00	$3,042.54	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,541.42 / $2,919.49 / $4,761.95	Professional		$2,541.42	$2,919.49	$4,761.95
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 $2,979.62 / $3,092.06 / $3,092.06	Professional		$2,979.62	$3,092.06	$3,092.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,393.22 / $3,393.22 / $3,393.22	Facility		$3,393.22	$3,393.22	$3,393.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,689.31 / $3,713.13 / $5,957.47	Professional		$2,689.31	$3,713.13	$5,957.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,565.78 / $5,050.18 / $6,159.08	Professional		$3,565.78	$5,050.18	$6,159.08
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 $2,541.42 / $3,042.54 / $7,484.65	Professional		$2,541.42	$3,042.54	$7,484.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,110.60 / $3,110.60 / $5,992.90	Professional		$3,110.60	$3,110.60	$5,992.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,393.22 / $3,393.22 / $3,393.22	Facility		$3,393.22	$3,393.22	$3,393.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.58 / $3,729.57 / $5,957.47	Professional		$2,700.58	$3,729.57	$5,957.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,906.09 / $2,906.09 / $3,024.44	Facility		$2,906.09	$2,906.09	$3,024.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,756.59 / $2,964.21 / $3,080.35	Professional		$2,756.59	$2,964.21	$3,080.35
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 $2,719.12 / $3,776.55 / $5,965.02	Professional		$2,719.12	$3,776.55	$5,965.02