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 $1,228.08 / $1,422.46 / $2,222.42	Professional		$1,228.08	$1,422.46	$2,222.42
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 $1,427.74 / $1,481.61 / $2,645.94	Professional		$1,427.74	$1,481.61	$2,645.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $1,616.23 / $1,616.23	Facility		$1,616.23	$1,616.23	$1,616.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.85 / $1,796.96 / $2,862.57	Professional		$1,304.85	$1,796.96	$2,862.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.26 / $2,280.73 / $2,900.54	Professional		$1,679.26	$2,280.73	$2,900.54
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 $1,228.08 / $1,622.78 / $5,823.00	Professional		$1,228.08	$1,622.78	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.30 / $1,495.30 / $3,008.70	Professional		$1,495.30	$1,495.30	$3,008.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,616.23 / $1,616.23 / $1,616.23	Facility		$1,616.23	$1,616.23	$1,616.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.09 / $1,818.35 / $2,871.84	Professional		$1,315.09	$1,818.35	$2,871.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,392.70 / $1,392.70 / $1,558.13	Facility		$1,392.70	$1,392.70	$1,558.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,345.01 / $1,404.61 / $1,558.13	Professional		$1,345.01	$1,404.61	$1,558.13
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 $1,407.86 / $1,869.42 / $2,870.46	Professional		$1,407.86	$1,869.42	$2,870.46