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 $1,180.71 / $1,368.32 / $2,137.42	Professional		$1,180.71	$1,368.32	$2,137.42
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 $1,373.13 / $1,424.95 / $2,545.04	Professional		$1,373.13	$1,424.95	$2,545.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.88 / $1,553.88 / $1,553.88	Facility		$1,553.88	$1,553.88	$1,553.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.41 / $1,727.64 / $2,778.00	Professional		$1,295.41	$1,727.64	$2,778.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.14 / $2,193.55 / $2,789.79	Professional		$1,615.14	$2,193.55	$2,789.79
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 $1,180.71 / $1,536.63 / $5,823.00	Professional		$1,180.71	$1,536.63	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,535.90 / $1,535.90 / $2,777.00	Professional		$1,535.90	$1,535.90	$2,777.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,553.88 / $1,553.88 / $1,553.88	Facility		$1,553.88	$1,553.88	$1,553.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.41 / $1,748.80 / $2,887.42	Professional		$1,295.41	$1,748.80	$2,887.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,339.67 / $1,339.67 / $1,737.93	Facility		$1,339.67	$1,339.67	$1,737.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,293.90 / $1,351.03 / $1,737.93	Professional		$1,293.90	$1,351.03	$1,737.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,328.24 / $1,746.61 / $2,796.68	Professional		$1,328.24	$1,746.61	$2,796.68