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 / $8,451.00	Facility		$1,301.00	$2,747.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,093.92 / $2,326.86 / $3,461.88	Professional		$2,093.92	$2,326.86	$3,461.88
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 $2,474.67 / $2,568.05 / $4,521.25	Professional		$2,474.67	$2,568.05	$4,521.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,814.58 / $2,814.58 / $2,814.58	Facility		$2,814.58	$2,814.58	$2,814.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,251.73 / $2,945.96 / $4,868.57	Professional		$2,251.73	$2,945.96	$4,868.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,963.95 / $4,191.85 / $5,119.55	Professional		$2,963.95	$4,191.85	$5,119.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,093.92 / $2,524.81 / $6,211.03	Professional		$2,093.92	$2,524.81	$6,211.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,342.00 / $2,342.00 / $4,935.60	Professional		$2,342.00	$2,342.00	$4,935.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,814.58 / $2,814.58 / $2,814.58	Facility		$2,814.58	$2,814.58	$2,814.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,259.21 / $3,034.96 / $4,868.57	Professional		$2,259.21	$3,034.96	$4,868.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,331.73 / $2,411.61 / $2,411.61	Facility		$2,331.73	$2,411.61	$2,411.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.15 / $2,411.61 / $2,558.52	Professional		$2,290.15	$2,411.61	$2,558.52
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 $2,349.51 / $3,059.75 / $4,470.08	Professional		$2,349.51	$3,059.75	$4,470.08