Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.00 / $2,326.00 / $7,629.00	Facility		$939.00	$2,326.00	$7,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.02 / $1,251.36 / $2,021.50	Professional		$1,118.02	$1,251.36	$2,021.50
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 $1,298.66 / $1,347.67 / $1,347.67	Professional		$1,298.66	$1,347.67	$1,347.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,470.59	Facility		$1,470.59	$1,470.59	$1,470.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.32 / $1,592.70 / $2,560.39	Professional		$1,175.32	$1,592.70	$2,560.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.13 / $2,073.88 / $2,637.77	Professional		$1,527.13	$2,073.88	$2,637.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,326.00 / $8,017.00	Facility		$800.00	$2,326.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,118.02 / $1,374.52 / $3,327.00	Professional		$1,118.02	$1,374.52	$3,327.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.00 / $1,446.00 / $2,628.70	Professional		$1,446.00	$1,446.00	$2,628.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,470.59	Facility		$1,470.59	$1,470.59	$1,470.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.05 / $1,616.96 / $2,599.17	Professional		$1,179.05	$1,616.96	$2,599.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,267.89 / $1,267.89 / $1,374.40	Facility		$1,267.89	$1,267.89	$1,374.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,224.35 / $1,278.84 / $1,374.40	Professional		$1,224.35	$1,278.84	$1,374.40
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 $1,235.26 / $1,597.82 / $2,453.23	Professional		$1,235.26	$1,597.82	$2,453.23