Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.64 / $1,300.64 / $5,033.47	Facility		$1,300.64	$1,300.64	$5,033.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.64 / $1,427.06 / $1,857.17	Professional		$1,300.64	$1,427.06	$1,857.17
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 $2,217.71 / $2,912.48 / $2,912.48	Professional		$2,217.71	$2,912.48	$2,912.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,817.17	Facility		$1,819.89	$1,819.89	$3,817.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $3,400.36	Professional		$1,328.52	$1,328.52	$3,400.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,572.65 / $3,883.31 / $7,378.29	Professional		$3,572.65	$3,883.31	$7,378.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,300.64 / $1,300.64 / $5,033.47	Facility		$1,300.64	$1,300.64	$5,033.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,275.14 / $1,428.15 / $2,167.73	Professional		$1,275.14	$1,428.15	$2,167.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,814.80 / $5,537.00 / $7,650.80	Professional		$4,814.80	$5,537.00	$7,650.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,817.17	Facility		$1,819.89	$1,819.89	$3,817.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $4,039.50	Professional		$1,328.52	$1,328.52	$4,039.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,391.74 / $1,391.74 / $2,772.15	Facility		$1,391.74	$1,391.74	$2,772.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,391.74 / $2,772.15 / $3,696.20	Professional		$1,391.74	$2,772.15	$3,696.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.71 / $1,747.49 / $2,695.61	Professional		$1,367.71	$1,747.49	$2,695.61