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 $1,604.60 / $1,802.11 / $3,110.91	Professional		$1,604.60	$1,802.11	$3,110.91
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 $1,884.84 / $1,955.96 / $1,955.96	Professional		$1,884.84	$1,955.96	$1,955.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,142.73 / $2,142.73 / $2,142.73	Facility		$2,142.73	$2,142.73	$2,142.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.80 / $2,294.78 / $3,764.44	Professional		$1,710.80	$2,294.78	$3,764.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,259.15 / $3,190.63 / $3,902.16	Professional		$2,259.15	$3,190.63	$3,902.16
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 $1,604.60 / $2,058.79 / $5,712.85	Professional		$1,604.60	$2,058.79	$5,712.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.70 / $1,956.70 / $3,791.10	Professional		$1,956.70	$1,956.70	$3,791.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,142.73 / $2,142.73 / $2,142.73	Facility		$2,142.73	$2,142.73	$2,142.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,712.20 / $2,352.52 / $3,764.44	Professional		$1,712.20	$2,352.52	$3,764.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,828.49 / $1,836.31 / $1,836.31	Facility		$1,828.49	$1,836.31	$1,836.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,745.22 / $1,836.31 / $1,949.80	Professional		$1,745.22	$1,836.31	$1,949.80
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 $1,783.74 / $2,352.31 / $3,732.13	Professional		$1,783.74	$2,352.31	$3,732.13