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 $1,232.80 / $1,392.69 / $2,128.44	Professional		$1,232.80	$1,392.69	$2,128.44
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 $1,450.67 / $1,505.42 / $2,041.41	Professional		$1,450.67	$1,505.42	$2,041.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.17 / $1,644.17 / $1,644.17	Facility		$1,644.17	$1,644.17	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.18 / $1,756.38 / $2,891.80	Professional		$1,252.18	$1,756.38	$2,891.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.60 / $2,453.67 / $3,008.21	Professional		$1,741.60	$2,453.67	$3,008.21
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 $1,232.80 / $1,502.40 / $5,958.00	Professional		$1,232.80	$1,502.40	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.30 / $1,371.30 / $2,908.80	Professional		$1,371.30	$1,371.30	$2,908.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.17 / $1,644.17 / $1,644.17	Facility		$1,644.17	$1,644.17	$1,644.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.18 / $1,796.25 / $2,891.80	Professional		$1,252.18	$1,796.25	$2,891.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,384.50 / $1,410.64 / $1,410.64	Facility		$1,384.50	$1,410.64	$1,410.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,343.84 / $1,410.64 / $1,500.30	Professional		$1,343.84	$1,410.64	$1,500.30
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 $1,332.14 / $1,736.56 / $2,682.60	Professional		$1,332.14	$1,736.56	$2,682.60