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 $1,433.03 / $1,581.28 / $2,418.12	Professional		$1,433.03	$1,581.28	$2,418.12
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 $1,686.05 / $1,749.67 / $1,749.67	Professional		$1,686.05	$1,749.67	$1,749.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.67 / $1,911.67 / $1,911.67	Facility		$1,911.67	$1,911.67	$1,911.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.75 / $2,033.97 / $3,361.79	Professional		$1,441.75	$2,033.97	$3,361.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.51 / $2,851.27 / $3,496.87	Professional		$2,024.51	$2,851.27	$3,496.87
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 $1,433.03 / $1,723.61 / $5,958.00	Professional		$1,433.03	$1,723.61	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.80 / $1,653.80 / $3,380.80	Professional		$1,653.80	$1,653.80	$3,380.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,911.67 / $1,911.67 / $1,911.67	Facility		$1,911.67	$1,911.67	$1,911.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.18 / $2,072.62 / $3,361.79	Professional		$1,444.18	$2,072.62	$3,361.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,466.12 / $1,639.90 / $1,639.90	Facility		$1,466.12	$1,639.90	$1,639.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,466.12 / $1,639.90 / $1,744.50	Professional		$1,466.12	$1,639.90	$1,744.50
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 $1,551.60 / $2,068.80 / $3,303.56	Professional		$1,551.60	$2,068.80	$3,303.56