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 $1,370.56 / $1,552.60 / $2,451.63	Professional		$1,370.56	$1,552.60	$2,451.63
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 $1,611.54 / $1,672.35 / $1,672.35	Professional		$1,611.54	$1,672.35	$1,672.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.03 / $1,829.03 / $1,829.03	Facility		$1,829.03	$1,829.03	$1,829.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.55 / $1,965.30 / $3,214.76	Professional		$1,427.55	$1,965.30	$3,214.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.11 / $2,727.12 / $3,339.00	Professional		$1,933.11	$2,727.12	$3,339.00
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 $1,370.56 / $1,666.53 / $4,043.94	Professional		$1,370.56	$1,666.53	$4,043.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.20 / $1,748.20 / $3,241.30	Professional		$1,748.20	$1,748.20	$3,241.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,829.03 / $1,829.03 / $1,829.03	Facility		$1,829.03	$1,829.03	$1,829.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.47 / $2,005.96 / $3,214.76	Professional		$1,429.47	$2,005.96	$3,214.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,568.17 / $1,568.17 / $1,978.40	Facility		$1,568.17	$1,568.17	$1,978.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,492.45 / $1,599.53 / $1,978.40	Professional		$1,492.45	$1,599.53	$1,978.40
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 $1,521.77 / $1,981.90 / $2,988.76	Professional		$1,521.77	$1,981.90	$2,988.76