Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.56 / $2,747.00 / $8,247.00	Facility		$1,205.56	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.78 / $1,244.45 / $1,913.75	Professional		$1,127.78	$1,244.45	$1,913.75
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 $1,327.64 / $1,377.74 / $1,377.74	Professional		$1,327.64	$1,377.74	$1,377.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.93 / $1,504.93 / $1,504.93	Facility		$1,504.93	$1,504.93	$1,504.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.94 / $1,578.61 / $2,647.66	Professional		$1,142.94	$1,578.61	$2,647.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.59 / $2,244.11 / $2,754.30	Professional		$1,594.59	$2,244.11	$2,754.30
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 $1,127.78 / $1,377.60 / $5,958.00	Professional		$1,127.78	$1,377.60	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.90 / $1,312.90 / $2,663.50	Professional		$1,312.90	$1,312.90	$2,663.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,504.93 / $1,504.93 / $1,504.93	Facility		$1,504.93	$1,504.93	$1,504.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.34 / $1,628.24 / $2,647.66	Professional		$1,144.34	$1,628.24	$2,647.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,226.45 / $1,291.54 / $1,291.54	Facility		$1,226.45	$1,291.54	$1,291.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,226.45 / $1,291.54 / $1,374.46	Professional		$1,226.45	$1,291.54	$1,374.46
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 $1,247.99 / $1,646.53 / $2,466.73	Professional		$1,247.99	$1,646.53	$2,466.73