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 $2,016.11 / $2,279.48 / $3,943.62	Professional		$2,016.11	$2,279.48	$3,943.62
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 $2,367.16 / $2,456.48 / $4,426.51	Professional		$2,367.16	$2,456.48	$4,426.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,692.04 / $2,692.04 / $2,692.04	Facility		$2,692.04	$2,692.04	$2,692.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,110.73 / $2,893.27 / $4,728.49	Professional		$2,110.73	$2,893.27	$4,728.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.51 / $4,008.68 / $4,897.71	Professional		$2,835.51	$4,008.68	$4,897.71
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 $2,016.11 / $2,575.87 / $5,942.33	Professional		$2,016.11	$2,575.87	$5,942.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,307.90 / $2,307.90 / $4,763.89	Professional		$2,307.90	$2,307.90	$4,763.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,692.04 / $2,692.04 / $2,692.04	Facility		$2,692.04	$2,692.04	$2,692.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,124.25 / $2,965.17 / $4,728.49	Professional		$2,124.25	$2,965.17	$4,728.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,193.52 / $2,306.58 / $2,306.58	Facility		$2,193.52	$2,306.58	$2,306.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,191.04 / $2,306.58 / $2,447.48	Professional		$2,191.04	$2,306.58	$2,447.48
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 $2,205.11 / $2,978.94 / $4,373.42	Professional		$2,205.11	$2,978.94	$4,373.42