Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,109.76 / $8,247.00	Facility		$1,301.00	$3,109.76	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,597.23 / $3,040.07 / $4,740.99	Professional		$2,597.23	$3,040.07	$4,740.99
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 $3,045.73 / $3,160.66 / $3,160.66	Professional		$3,045.73	$3,160.66	$3,160.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.87 / $3,467.87 / $3,467.87	Facility		$3,467.87	$3,467.87	$3,467.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,833.48 / $3,794.48 / $6,088.81	Professional		$2,833.48	$3,794.48	$6,088.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,645.37 / $5,161.14 / $6,296.54	Professional		$3,645.37	$5,161.14	$6,296.54
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 $2,597.23 / $3,109.76 / $7,650.01	Professional		$2,597.23	$3,109.76	$7,650.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,186.50 / $3,186.50 / $6,130.60	Professional		$3,186.50	$3,186.50	$6,130.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.87 / $3,467.87 / $3,467.87	Facility		$3,467.87	$3,467.87	$3,467.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,845.36 / $3,859.07 / $6,088.81	Professional		$2,845.36	$3,859.07	$6,088.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,970.15 / $2,970.15 / $3,070.54	Facility		$2,970.15	$2,970.15	$3,070.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,817.98 / $3,029.55 / $3,148.79	Professional		$2,817.98	$3,029.55	$3,148.79
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 $2,982.01 / $3,796.78 / $5,727.84	Professional		$2,982.01	$3,796.78	$5,727.84