Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,887.37 / $3,232.43 / $3,232.43	Facility		$2,887.37	$3,232.43	$3,232.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.92 / $3,040.96 / $3,303.47	Professional		$968.92	$3,040.96	$3,303.47
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 $1,731.20 / $1,796.53 / $1,796.53	Professional		$1,731.20	$1,796.53	$1,796.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,155.08 / $4,222.57 / $6,565.97	Professional		$3,155.08	$4,222.57	$6,565.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,857.31 / $10,317.82 / $12,916.90	Professional		$2,857.31	$10,317.82	$12,916.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,232.43 / $3,232.43 / $3,232.43	Facility		$3,232.43	$3,232.43	$3,232.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,040.96 / $4,248.72	Professional		$961.45	$3,040.96	$4,248.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,155.00	Professional		$1,100.00	$1,100.00	$1,155.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,181.37 / $5,181.37 / $5,181.37	Facility		$5,181.37	$5,181.37	$5,181.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,155.08 / $4,312.97 / $6,281.13	Professional		$3,155.08	$4,312.97	$6,281.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $481.60 / $1,692.77 / $1,692.77	Facility		$481.60	$1,692.77	$1,692.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $481.60 / $1,657.76 / $6,217.08	Professional		$481.60	$1,657.76	$6,217.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,879.00 / $7,508.00	Facility		$2,332.00	$3,879.00	$7,508.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,633.21 / $2,106.84 / $3,437.10	Professional		$1,633.21	$2,106.84	$3,437.10