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 $1,893.39 / $2,125.36 / $5,581.79	Professional		$1,893.39	$2,125.36	$5,581.79
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 $2,135.64 / $2,216.23 / $4,154.27	Professional		$2,135.64	$2,216.23	$4,154.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,528.87 / $2,528.87 / $2,528.87	Facility		$2,528.87	$2,528.87	$2,528.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,882.54 / $2,665.04 / $4,441.53	Professional		$1,882.54	$2,665.04	$4,441.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,546.03 / $3,570.32 / $4,397.68	Professional		$2,546.03	$3,570.32	$4,397.68
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 $1,893.39 / $2,472.46 / $7,799.00	Professional		$1,893.39	$2,472.46	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.30 / $2,160.30 / $4,439.20	Professional		$2,160.30	$2,160.30	$4,439.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,528.87 / $2,528.87 / $2,528.87	Facility		$2,528.87	$2,528.87	$2,528.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,918.67 / $2,719.91 / $4,441.53	Professional		$1,918.67	$2,719.91	$4,441.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,993.06 / $2,166.60 / $2,166.60	Facility		$1,993.06	$2,166.60	$2,166.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,993.06 / $2,166.60 / $2,299.58	Professional		$1,993.06	$2,166.60	$2,299.58
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 $2,108.06 / $2,750.17 / $4,414.49	Professional		$2,108.06	$2,750.17	$4,414.49