Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.35 / $4,563.82 / $5,453.46	Facility		$1,108.35	$4,563.82	$5,453.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.11 / $1,056.20 / $1,108.35	Professional		$1,030.11	$1,056.20	$1,108.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,017.08 / $1,017.08 / $1,017.08	Professional		$1,017.08	$1,017.08	$1,017.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $1,695.14 / $3,896.28	Facility		$908.60	$1,695.14	$3,896.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,285.04 / $6,285.04 / $6,285.04	Professional		$6,285.04	$6,285.04	$6,285.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.15 / $1,760.33 / $3,220.76	Professional		$1,369.15	$1,760.33	$3,220.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,219.20 / $3,879.26 / $5,453.46	Facility		$1,219.20	$3,879.26	$5,453.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,030.11 / $1,108.35 / $5,385.31	Professional		$1,030.11	$1,108.35	$5,385.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.85 / $1,955.92 / $2,607.90	Professional		$1,929.85	$1,955.92	$2,607.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $908.60 / $1,674.91 / $4,326.85	Facility		$908.60	$1,674.91	$4,326.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,285.04 / $6,285.04 / $6,285.04	Professional		$6,285.04	$6,285.04	$6,285.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,434.35	Facility		$1,303.95	$1,303.95	$1,434.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,434.35	Professional		$1,303.95	$1,303.95	$1,434.35
United Facility/Professional Facility Modifier Low / Median / High Price $670.79 / $670.79 / $1,341.58	Facility		$670.79	$670.79	$1,341.58
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $670.79 / $1,565.17	Professional		$469.55	$670.79	$1,565.17