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 $2,049.21 / $2,281.00 / $3,637.33	Professional		$2,049.21	$2,281.00	$3,637.33
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 $2,422.66 / $2,514.08 / $4,533.74	Professional		$2,422.66	$2,514.08	$4,533.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.33 / $2,756.33 / $2,756.33	Facility		$2,756.33	$2,756.33	$2,756.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.81 / $2,916.01 / $4,840.42	Professional		$1,977.81	$2,916.01	$4,840.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,901.25 / $4,104.31 / $5,011.25	Professional		$2,901.25	$4,104.31	$5,011.25
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 $2,049.21 / $2,473.60 / $6,085.06	Professional		$2,049.21	$2,473.60	$6,085.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,463.50 / $2,463.50 / $4,873.60	Professional		$2,463.50	$2,463.50	$4,873.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,756.33 / $2,756.33 / $2,756.33	Facility		$2,756.33	$2,756.33	$2,756.33
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,097.57 / $3,021.49 / $4,840.42	Professional		$2,097.57	$3,021.49	$4,840.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,361.17 / $2,361.17 / $2,401.06	Facility		$2,361.17	$2,361.17	$2,401.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,241.92 / $2,401.06 / $2,504.59	Professional		$2,241.92	$2,401.06	$2,504.59
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 $2,260.00 / $3,012.87 / $4,780.37	Professional		$2,260.00	$3,012.87	$4,780.37