Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.97 / $5,254.00 / $10,527.00	Facility		$1,481.97	$5,254.00	$10,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.69 / $1,538.42 / $2,256.57	Professional		$1,347.69	$1,538.42	$2,256.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,469.85 / $1,525.32 / $2,542.42	Professional		$1,469.85	$1,525.32	$2,542.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $1,071.00 / $1,071.00	Facility		$1,071.00	$1,071.00	$1,071.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.65 / $1,514.08 / $2,560.60	Professional		$1,178.65	$1,514.08	$2,560.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.88 / $1,775.88 / $2,290.03	Professional		$1,775.88	$1,775.88	$2,290.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,526.00 / $11,182.00	Facility		$1,426.00	$5,526.00	$11,182.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,353.31 / $1,699.49 / $7,775.82	Professional		$1,353.31	$1,699.49	$7,775.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.70 / $1,494.70 / $1,494.70	Professional		$1,494.70	$1,494.70	$1,494.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $1,071.00 / $1,071.00	Facility		$1,071.00	$1,071.00	$1,071.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.28 / $1,542.17 / $2,560.60	Professional		$1,215.28	$1,542.17	$2,560.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,355.80 / $1,459.39 / $1,459.39	Facility		$1,355.80	$1,459.39	$1,459.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,355.80 / $1,459.39 / $1,551.30	Professional		$1,355.80	$1,459.39	$1,551.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $3,475.00 / $6,368.00	Facility		$1,440.00	$3,475.00	$6,368.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.75 / $1,641.87 / $2,711.54	Professional		$1,230.75	$1,641.87	$2,711.54