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 $2,144.89 / $2,368.59 / $3,918.55	Professional		$2,144.89	$2,368.59	$3,918.55
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 $2,517.37 / $2,612.37 / $4,711.60	Professional		$2,517.37	$2,612.37	$4,711.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $2,864.64	Facility		$2,864.64	$2,864.64	$2,864.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,153.29 / $3,030.22 / $5,030.10	Professional		$2,153.29	$3,030.22	$5,030.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,014.75 / $4,263.66 / $5,207.29	Professional		$3,014.75	$4,263.66	$5,207.29
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 $2,144.89 / $2,569.42 / $6,320.80	Professional		$2,144.89	$2,569.42	$6,320.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.69 / $2,520.69 / $5,022.00	Professional		$2,520.69	$2,520.69	$5,022.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $2,864.64	Facility		$2,864.64	$2,864.64	$2,864.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.01 / $3,152.76 / $5,030.10	Professional		$2,187.01	$3,152.76	$5,030.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,354.31 / $2,453.71 / $2,453.71	Facility		$2,354.31	$2,453.71	$2,453.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,329.23 / $2,453.71 / $2,602.98	Professional		$2,329.23	$2,453.71	$2,602.98
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 $2,348.35 / $3,127.16 / $5,011.83	Professional		$2,348.35	$3,127.16	$5,011.83