Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,066.00 / $7,799.00	Facility		$1,216.00	$3,066.00	$7,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.45 / $1,413.90 / $2,054.85	Professional		$1,306.45	$1,413.90	$2,054.85
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 $1,537.30 / $1,595.31 / $2,604.85	Professional		$1,537.30	$1,595.31	$2,604.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.76 / $1,743.76 / $1,743.76	Facility		$1,743.76	$1,743.76	$1,743.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.32 / $1,794.17 / $2,994.07	Professional		$1,312.32	$1,794.17	$2,994.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.62 / $2,600.78 / $3,186.17	Professional		$1,844.62	$2,600.78	$3,186.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,017.00	Facility		$1,013.00	$3,839.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,306.45 / $1,591.23 / $5,823.00	Professional		$1,306.45	$1,591.23	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.50 / $1,539.50 / $3,075.90	Professional		$1,539.50	$1,539.50	$3,075.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,743.76 / $1,743.76 / $1,743.76	Facility		$1,743.76	$1,743.76	$1,743.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.52 / $1,809.78 / $2,994.07	Professional		$1,313.52	$1,809.78	$2,994.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,381.29 / $1,495.95 / $1,495.95	Facility		$1,381.29	$1,495.95	$1,495.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,381.29 / $1,495.95 / $1,590.23	Professional		$1,381.29	$1,495.95	$1,590.23
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 $1,450.28 / $1,885.16 / $3,002.00	Professional		$1,450.28	$1,885.16	$3,002.00