Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,110.44 / $8,247.00	Facility		$1,301.00	$3,110.44	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,597.81 / $3,046.77 / $4,822.47	Professional		$2,597.81	$3,046.77	$4,822.47
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 $3,046.07 / $3,161.02 / $3,161.02	Professional		$3,046.07	$3,161.02	$3,161.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.26 / $3,468.26 / $3,468.26	Facility		$3,468.26	$3,468.26	$3,468.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,844.20 / $3,795.30 / $6,090.76	Professional		$2,844.20	$3,795.30	$6,090.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,645.74 / $5,161.60 / $6,297.19	Professional		$3,645.74	$5,161.60	$6,297.19
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 $2,597.81 / $3,139.02 / $9,238.00	Professional		$2,597.81	$3,139.02	$9,238.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,147.70 / $3,147.70 / $6,131.20	Professional		$3,147.70	$3,147.70	$6,131.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,468.26 / $3,468.26 / $3,468.26	Facility		$3,468.26	$3,468.26	$3,468.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.56 / $3,860.69 / $6,090.76	Professional		$2,853.56	$3,860.69	$6,090.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,767.53 / $2,971.10 / $2,971.10	Facility		$2,767.53	$2,971.10	$2,971.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,767.53 / $2,971.10 / $3,149.82	Professional		$2,767.53	$2,971.10	$3,149.82
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 $2,903.78 / $3,805.98 / $5,781.95	Professional		$2,903.78	$3,805.98	$5,781.95