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 $1,140.03 / $1,320.61 / $2,060.50	Professional		$1,140.03	$1,320.61	$2,060.50
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 $1,323.72 / $1,373.67 / $2,453.46	Professional		$1,323.72	$1,373.67	$2,453.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.38 / $1,498.38 / $1,498.38	Facility		$1,498.38	$1,498.38	$1,498.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.92 / $1,635.51 / $2,650.58	Professional		$1,193.92	$1,635.51	$2,650.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.68 / $2,113.88 / $2,688.80	Professional		$1,556.68	$2,113.88	$2,688.80
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 $1,140.03 / $1,495.17 / $5,823.00	Professional		$1,140.03	$1,495.17	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.90 / $1,458.90 / $2,757.70	Professional		$1,458.90	$1,458.90	$2,757.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,498.38 / $1,498.38 / $1,498.38	Facility		$1,498.38	$1,498.38	$1,498.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,677.81 / $2,650.58	Professional		$1,195.08	$1,677.81	$2,650.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,292.97 / $1,292.97 / $1,433.79	Facility		$1,292.97	$1,292.97	$1,433.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,248.54 / $1,304.18 / $1,433.79	Professional		$1,248.54	$1,304.18	$1,433.79
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 $1,258.97 / $1,658.35 / $2,523.42	Professional		$1,258.97	$1,658.35	$2,523.42