Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $2,863.94 / $8,247.00	Facility		$1,301.00	$2,863.94	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,391.48 / $2,773.14 / $4,367.62	Professional		$2,391.48	$2,773.14	$4,367.62
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 $2,805.86 / $2,911.74 / $2,911.74	Professional		$2,805.86	$2,911.74	$2,911.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,193.94 / $3,193.94	Facility		$3,193.94	$3,193.94	$3,193.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,571.86 / $3,485.50 / $5,607.95	Professional		$2,571.86	$3,485.50	$5,607.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,359.15 / $4,754.06 / $5,802.16	Professional		$3,359.15	$4,754.06	$5,802.16
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 $2,391.48 / $2,863.94 / $7,045.29	Professional		$2,391.48	$2,863.94	$7,045.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,968.10 / $2,968.10 / $5,647.90	Professional		$2,968.10	$2,968.10	$5,647.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,193.94 / $3,193.94	Facility		$3,193.94	$3,193.94	$3,193.94
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.69 / $3,531.46 / $5,607.95	Professional		$2,572.69	$3,531.46	$5,607.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,631.02 / $2,735.59 / $2,735.59	Facility		$2,631.02	$2,735.59	$2,735.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,596.33 / $2,735.59 / $2,900.89	Professional		$2,596.33	$2,735.59	$2,900.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $6,515.00 / $12,076.00	Facility		$3,340.00	$6,515.00	$12,076.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,669.63 / $3,546.40 / $5,601.46	Professional		$2,669.63	$3,546.40	$5,601.46