Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $2,747.00 / $8,017.00	Facility		$1,058.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.18 / $1,115.79 / $1,830.38	Professional		$1,011.18	$1,115.79	$1,830.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,175.88 / $1,220.25 / $2,172.03	Professional		$1,175.88	$1,220.25	$2,172.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,330.88	Facility		$1,330.88	$1,330.88	$1,330.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.32 / $1,452.59 / $2,312.46	Professional		$1,109.32	$1,452.59	$2,312.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.09 / $1,879.31 / $2,390.69	Professional		$1,384.09	$1,879.31	$2,390.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,077.00 / $8,017.00	Facility		$1,013.00	$3,077.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,014.69 / $1,331.22 / $4,575.00	Professional		$1,014.69	$1,331.22	$4,575.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.90 / $1,305.90 / $2,474.60	Professional		$1,305.90	$1,305.90	$2,474.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.88 / $1,330.88 / $1,330.88	Facility		$1,330.88	$1,330.88	$1,330.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.32 / $1,479.58 / $2,351.86	Professional		$1,109.32	$1,479.58	$2,351.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,147.25 / $1,147.25 / $1,199.77	Facility		$1,147.25	$1,147.25	$1,199.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.47 / $1,156.54 / $1,211.64	Professional		$1,108.47	$1,156.54	$1,211.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,368.00	Facility		$2,155.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.89 / $1,473.76 / $2,227.23	Professional		$1,136.89	$1,473.76	$2,227.23