Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $4,761.00 / $8,451.00	Facility		$1,426.00	$4,761.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.83 / $1,362.16 / $1,848.67	Professional		$1,125.83	$1,362.16	$1,848.67
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 $1,295.40 / $1,344.29 / $2,161.73	Professional		$1,295.40	$1,344.29	$2,161.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.37 / $1,293.84 / $2,164.87	Professional		$1,019.37	$1,293.84	$2,164.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.52 / $1,573.52 / $2,029.09	Professional		$1,573.52	$1,573.52	$2,029.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $5,342.00 / $9,617.00	Facility		$1,151.00	$5,342.00	$9,617.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,153.93 / $1,479.25 / $6,786.30	Professional		$1,153.93	$1,479.25	$6,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.30 / $1,267.30 / $1,267.30	Professional		$1,267.30	$1,267.30	$1,267.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $771.00 / $771.00 / $771.00	Facility		$771.00	$771.00	$771.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.77 / $1,344.29 / $2,164.87	Professional		$1,038.77	$1,344.29	$2,164.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,240.40 / $1,297.33 / $1,297.33	Facility		$1,240.40	$1,297.33	$1,297.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,240.40 / $1,297.33 / $1,383.85	Professional		$1,240.40	$1,297.33	$1,383.85
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 $1,057.63 / $1,370.23 / $2,354.14	Professional		$1,057.63	$1,370.23	$2,354.14