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 $1,870.81 / $2,102.85 / $3,321.69	Professional		$1,870.81	$2,102.85	$3,321.69
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 $2,197.42 / $2,280.34 / $4,101.99	Professional		$2,197.42	$2,280.34	$4,101.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,498.52 / $2,498.52 / $2,498.52	Facility		$2,498.52	$2,498.52	$2,498.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,874.19 / $2,676.14 / $4,387.43	Professional		$1,874.19	$2,676.14	$4,387.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,633.02 / $3,720.78 / $4,547.93	Professional		$2,633.02	$3,720.78	$4,547.93
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 $1,870.81 / $2,242.06 / $5,515.47	Professional		$1,870.81	$2,242.06	$5,515.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.90 / $2,216.90 / $4,422.30	Professional		$2,216.90	$2,216.90	$4,422.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,498.52 / $2,498.52 / $2,498.52	Facility		$2,498.52	$2,498.52	$2,498.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.30 / $2,746.80 / $4,387.43	Professional		$1,895.30	$2,746.80	$4,387.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,008.86 / $2,140.21 / $2,140.21	Facility		$2,008.86	$2,140.21	$2,140.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,008.86 / $2,140.21 / $2,271.65	Professional		$2,008.86	$2,140.21	$2,271.65
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 $2,044.33 / $2,725.78 / $4,136.35	Professional		$2,044.33	$2,725.78	$4,136.35