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 $2,242.69 / $2,616.17 / $4,488.95	Professional		$2,242.69	$2,616.17	$4,488.95
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 $2,632.14 / $2,731.46 / $2,731.46	Professional		$2,632.14	$2,731.46	$2,731.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $2,995.12 / $2,995.12	Facility		$2,995.12	$2,995.12	$2,995.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,443.08 / $3,269.86 / $5,281.42	Professional		$2,443.08	$3,269.86	$5,281.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,151.91 / $4,459.32 / $5,444.20	Professional		$3,151.91	$4,459.32	$5,444.20
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 $2,242.69 / $2,864.50 / $7,978.31	Professional		$2,242.69	$2,864.50	$7,978.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,824.70 / $2,824.70 / $5,296.80	Professional		$2,824.70	$2,824.70	$5,296.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,995.12 / $2,995.12 / $2,995.12	Facility		$2,995.12	$2,995.12	$2,995.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.19 / $3,320.26 / $5,281.42	Professional		$2,456.19	$3,320.26	$5,281.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,564.96 / $2,564.96 / $2,662.28	Facility		$2,564.96	$2,564.96	$2,662.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,435.42 / $2,616.27 / $2,720.56	Professional		$2,435.42	$2,616.27	$2,720.56
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 $2,487.48 / $3,285.73 / $4,908.66	Professional		$2,487.48	$3,285.73	$4,908.66