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 $1,634.37 / $1,885.48 / $2,990.97	Professional		$1,634.37	$1,885.48	$2,990.97
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 $1,921.47 / $1,993.98 / $1,993.98	Professional		$1,921.47	$1,993.98	$1,993.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,182.87 / $2,182.87 / $2,182.87	Facility		$2,182.87	$2,182.87	$2,182.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.61 / $2,370.83 / $3,834.92	Professional		$1,757.61	$2,370.83	$3,834.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,303.73 / $3,252.36 / $3,979.19	Professional		$2,303.73	$3,252.36	$3,979.19
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 $1,634.37 / $1,985.53 / $5,958.00	Professional		$1,634.37	$1,985.53	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,012.00 / $2,012.00 / $3,867.10	Professional		$2,012.00	$2,012.00	$3,867.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,182.87 / $2,182.87 / $2,182.87	Facility		$2,182.87	$2,182.87	$2,182.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.49 / $2,404.64 / $3,834.92	Professional		$1,766.49	$2,404.64	$3,834.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,870.69 / $1,870.69 / $1,934.48	Facility		$1,870.69	$1,870.69	$1,934.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.52 / $1,908.10 / $1,986.86	Professional		$1,778.52	$1,908.10	$1,986.86
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 $1,732.08 / $2,405.66 / $3,799.72	Professional		$1,732.08	$2,405.66	$3,799.72