Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $2,747.00 / $7,629.00	Facility		$1,224.00	$2,747.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.99 / $1,387.94 / $2,914.67	Professional		$1,177.99	$1,387.94	$2,914.67
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 $1,370.92 / $1,422.65 / $2,539.55	Professional		$1,370.92	$1,422.65	$2,539.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $1,551.17 / $1,551.17	Facility		$1,551.17	$1,551.17	$1,551.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.57 / $1,692.91 / $2,749.39	Professional		$1,270.57	$1,692.91	$2,749.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.92 / $2,190.48 / $2,785.95	Professional		$1,612.92	$2,190.48	$2,785.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,748.00 / $8,017.00	Facility		$1,020.00	$3,748.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,183.16 / $1,621.17 / $4,122.18	Professional		$1,183.16	$1,621.17	$4,122.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.50 / $1,545.50 / $2,900.60	Professional		$1,545.50	$1,545.50	$2,900.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.17 / $1,551.17 / $1,551.17	Facility		$1,551.17	$1,551.17	$1,551.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.08 / $1,745.99 / $2,755.00	Professional		$1,274.08	$1,745.99	$2,755.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,337.19 / $1,337.19 / $1,404.22	Facility		$1,337.19	$1,337.19	$1,404.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,291.57 / $1,348.46 / $1,411.67	Professional		$1,291.57	$1,348.46	$1,411.67
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 $1,324.59 / $1,742.88 / $2,611.09	Professional		$1,324.59	$1,742.88	$2,611.09