Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,692.44 / $9,423.54 / $13,901.80	Facility		$2,692.44	$9,423.54	$13,901.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,692.44 / $4,155.00	Professional		$1,000.00	$2,692.44	$4,155.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $14,863.60 / $22,592.23	Facility		$8,639.91	$14,863.60	$22,592.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,592.71 / $2,592.71 / $2,592.71	Professional		$2,592.71	$2,592.71	$2,592.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.42 / $4,321.20 / $9,722.70	Facility		$2,225.42	$4,321.20	$9,722.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,750.05 / $3,752.56 / $7,517.63	Professional		$1,750.05	$3,752.56	$7,517.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.04 / $2,659.20 / $5,617.56	Professional		$1,529.04	$2,659.20	$5,617.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,825.40 / $9,423.54 / $13,728.10	Facility		$2,825.40	$9,423.54	$13,728.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,094.12 / $2,725.68 / $13,728.10	Professional		$2,094.12	$2,725.68	$13,728.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,919.52 / $4,986.00 / $6,648.00	Professional		$4,919.52	$4,986.00	$6,648.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,322.71 / $5,145.14 / $11,030.12	Facility		$2,322.71	$5,145.14	$11,030.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,465.02 / $3,752.56 / $7,517.63	Professional		$2,465.02	$3,752.56	$7,517.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $3,656.40	Facility		$3,324.00	$3,324.00	$3,656.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $3,656.40	Professional		$3,324.00	$3,324.00	$3,656.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,991.60 / $3,988.80 / $3,988.80	Facility		$2,991.60	$3,988.80	$3,988.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,396.08 / $1,994.40 / $6,017.77	Professional		$1,396.08	$1,994.40	$6,017.77