Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.74 / $1,042.74 / $1,377.07	Facility		$1,042.74	$1,042.74	$1,377.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.59 / $1,257.98 / $1,878.42	Professional		$957.59	$1,257.98	$1,878.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $26,582.19	Facility		$8,639.91	$11,851.00	$26,582.19
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,374.79 / $1,426.67 / $1,426.67	Professional		$1,374.79	$1,426.67	$1,426.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $1,787.12 / $1,787.12	Facility		$1,787.12	$1,787.12	$1,787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.42 / $1,588.61 / $2,675.86	Professional		$1,102.42	$1,588.61	$2,675.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.12 / $2,137.07 / $2,784.56	Professional		$1,612.12	$2,137.07	$2,784.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,042.74 / $1,042.74 / $1,377.07	Facility		$1,042.74	$1,042.74	$1,377.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,008.52 / $1,377.07 / $4,089.89	Professional		$1,008.52	$1,377.07	$4,089.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,727.70 / $1,727.70 / $3,218.60	Professional		$1,727.70	$1,727.70	$3,218.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $1,787.12 / $1,787.12	Facility		$1,787.12	$1,787.12	$1,787.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.42 / $1,628.64 / $2,714.35	Professional		$1,102.42	$1,628.64	$2,714.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,009.26 / $1,154.11 / $1,769.94	Facility		$1,009.26	$1,154.11	$1,769.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,009.26 / $1,285.84 / $1,391.08	Professional		$1,009.26	$1,285.84	$1,391.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,843.00 / $3,742.00 / $7,000.00	Facility		$1,843.00	$3,742.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.10 / $1,694.42 / $2,697.41	Professional		$1,334.10	$1,694.42	$2,697.41