Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,816.59 / $8,247.00	Facility		$1,301.00	$2,816.59	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,351.82 / $2,747.45 / $4,295.02	Professional		$2,351.82	$2,747.45	$4,295.02
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 $2,759.22 / $2,863.34 / $2,863.34	Professional		$2,759.22	$2,863.34	$2,863.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,140.83 / $3,140.83 / $3,140.83	Facility		$3,140.83	$3,140.83	$3,140.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,562.41 / $3,432.71 / $5,514.33	Professional		$2,562.41	$3,432.71	$5,514.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,303.44 / $4,674.67 / $5,705.95	Professional		$3,303.44	$4,674.67	$5,705.95
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 $2,351.82 / $2,844.19 / $6,928.81	Professional		$2,351.82	$2,844.19	$6,928.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.90 / $2,892.90 / $5,554.30	Professional		$2,892.90	$2,892.90	$5,554.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,140.83 / $3,140.83 / $3,140.83	Facility		$3,140.83	$3,140.83	$3,140.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.96 / $3,488.54 / $5,514.33	Professional		$2,571.96	$3,488.54	$5,514.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,606.78 / $2,689.92 / $2,689.92	Facility		$2,606.78	$2,689.92	$2,689.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,552.92 / $2,689.92 / $2,852.61	Professional		$2,552.92	$2,689.92	$2,852.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,591.00 / $6,653.00 / $10,875.00	Facility		$3,591.00	$6,653.00	$10,875.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,624.56 / $3,432.70 / $5,222.71	Professional		$2,624.56	$3,432.70	$5,222.71