Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $9,654.49	Facility		$0.02	$0.05	$9,654.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,922.06 / $15,031.10 / $15,031.10	Professional		$2,922.06	$15,031.10	$15,031.10
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 $1,823.37 / $1,823.37 / $1,823.37	Professional		$1,823.37	$1,823.37	$1,823.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.42 / $3,453.23 / $7,757.26	Facility		$2,218.42	$3,453.23	$7,757.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.46 / $2,496.48 / $5,287.00	Professional		$1,101.46	$2,496.48	$5,287.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.91 / $3,155.83 / $4,441.54	Professional		$1,390.91	$3,155.83	$4,441.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $1,683.11 / $9,654.49	Facility		$0.02	$1,683.11	$9,654.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $9,654.49 / $15,031.10	Professional		$0.03	$9,654.49	$15,031.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,459.72 / $3,506.47 / $4,675.30	Professional		$3,459.72	$3,506.47	$4,675.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,275.38 / $3,889.08 / $7,757.26	Facility		$2,275.38	$3,889.08	$7,757.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.79 / $2,502.34 / $5,287.00	Professional		$1,230.79	$2,502.34	$5,287.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $2,571.42	Facility		$2,337.65	$2,337.65	$2,571.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,337.65 / $2,571.42	Professional		$2,337.65	$2,337.65	$2,571.42
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $1,402.59 / $3,272.71	Professional		$981.81	$1,402.59	$3,272.71