Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.40 / $9,156.32 / $13,550.50	Facility		$2,624.40	$9,156.32	$13,550.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $2,624.40 / $20,833.20	Professional		$1,704.45	$2,624.40	$20,833.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,526.79 / $12,702.70 / $19,307.73	Facility		$8,526.79	$12,702.70	$19,307.73
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,527.19 / $2,527.19 / $2,527.19	Professional		$2,527.19	$2,527.19	$2,527.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,074.76 / $4,786.35 / $10,751.95	Facility		$3,074.76	$4,786.35	$10,751.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.68 / $3,460.27 / $7,328.04	Professional		$1,526.68	$3,460.27	$7,328.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,927.80 / $4,374.00 / $6,156.00	Professional		$1,927.80	$4,374.00	$6,156.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $9,156.32 / $13,381.20	Facility		$2,754.00	$9,156.32	$13,381.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,041.20 / $2,754.00 / $13,381.20	Professional		$2,041.20	$2,754.00	$13,381.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,795.20 / $4,860.00 / $6,480.00	Professional		$4,795.20	$4,860.00	$6,480.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,153.80 / $5,390.31 / $10,751.95	Facility		$3,153.80	$5,390.31	$10,751.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,105.46 / $3,468.37 / $7,328.04	Professional		$2,105.46	$3,468.37	$7,328.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $805.33 / $3,240.00 / $3,240.00	Facility		$805.33	$3,240.00	$3,240.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $805.33 / $3,240.00 / $3,240.00	Professional		$805.33	$3,240.00	$3,240.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,704.45 / $1,704.45 / $3,408.90	Facility		$1,704.45	$1,704.45	$3,408.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $4,050.00	Professional		$1,360.80	$1,944.00	$4,050.00