Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,791.00 / $7,629.00	Facility		$1,216.00	$2,791.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.77 / $1,261.69 / $1,970.50	Professional		$1,088.77	$1,261.69	$1,970.50
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 $1,265.89 / $1,313.66 / $2,342.52	Professional		$1,265.89	$1,313.66	$2,342.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $1,432.52 / $1,432.52	Facility		$1,432.52	$1,432.52	$1,432.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.08 / $1,580.89 / $2,538.98	Professional		$1,168.08	$1,580.89	$2,538.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.26 / $2,022.48 / $2,572.35	Professional		$1,489.26	$2,022.48	$2,572.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,838.00 / $8,017.00	Facility		$1,020.00	$3,838.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,090.67 / $1,425.51 / $5,823.00	Professional		$1,090.67	$1,425.51	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.30 / $1,427.30 / $2,635.40	Professional		$1,427.30	$1,427.30	$2,635.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $1,432.52 / $1,432.52	Facility		$1,432.52	$1,432.52	$1,432.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.97 / $1,612.22 / $2,546.42	Professional		$1,170.97	$1,612.22	$2,546.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,235.23 / $1,235.23 / $1,304.24	Facility		$1,235.23	$1,235.23	$1,304.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,192.83 / $1,245.65 / $1,304.24	Professional		$1,192.83	$1,245.65	$1,304.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,468.00 / $6,885.00 / $20,612.20	Facility		$2,468.00	$6,885.00	$20,612.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.03 / $1,588.52 / $2,476.80	Professional		$1,187.03	$1,588.52	$2,476.80