Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.18 / $2,747.00 / $8,247.00	Facility		$1,146.18	$2,747.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.23 / $1,192.72 / $1,883.24	Professional		$1,072.23	$1,192.72	$1,883.24
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 $1,231.59 / $1,278.08 / $1,900.81	Professional		$1,231.59	$1,278.08	$1,900.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Facility		$1,392.82	$1,392.82	$1,392.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.54 / $1,510.45 / $2,465.91	Professional		$1,123.54	$1,510.45	$2,465.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.90 / $1,963.60 / $2,513.02	Professional		$1,454.90	$1,963.60	$2,513.02
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 $1,072.23 / $1,330.71 / $5,958.00	Professional		$1,072.23	$1,330.71	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.70 / $1,199.70 / $2,555.10	Professional		$1,199.70	$1,199.70	$2,555.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Facility		$1,392.82	$1,392.82	$1,392.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.54 / $1,532.08 / $2,488.92	Professional		$1,123.54	$1,532.08	$2,488.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,177.56 / $1,214.10 / $1,214.10	Facility		$1,177.56	$1,214.10	$1,214.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,177.56 / $1,214.10 / $1,287.79	Professional		$1,177.56	$1,214.10	$1,287.79
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 $1,216.02 / $1,555.27 / $2,267.31	Professional		$1,216.02	$1,555.27	$2,267.31