Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.41 / $1,478.41 / $5,721.45	Facility		$1,478.41	$1,478.41	$5,721.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.46 / $1,565.38 / $2,045.80	Professional		$1,362.46	$1,565.38	$2,045.80
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 $2,520.84 / $3,310.57 / $3,310.57	Professional		$2,520.84	$3,310.57	$3,310.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $3,544.49	Facility		$2,482.86	$2,482.86	$3,544.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $3,103.68	Professional		$1,812.49	$1,812.49	$3,103.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,260.93 / $3,544.49 / $6,734.53	Professional		$3,260.93	$3,544.49	$6,734.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,478.41 / $1,478.41 / $5,721.45	Facility		$1,478.41	$1,478.41	$5,721.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,362.46 / $1,565.38 / $2,464.02	Professional		$1,362.46	$1,565.38	$2,464.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,400.80 / $4,834.20 / $6,983.30	Professional		$2,400.80	$4,834.20	$6,983.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $3,544.49	Facility		$2,482.86	$2,482.86	$3,544.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $4,449.75	Professional		$1,812.49	$1,812.49	$4,449.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,581.96 / $1,581.96 / $3,151.05	Facility		$1,581.96	$1,581.96	$3,151.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,581.96 / $3,151.05 / $3,373.70	Professional		$1,581.96	$3,151.05	$3,373.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,272.54 / $2,182.50 / $2,488.46	Facility		$1,272.54	$2,182.50	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.65 / $1,986.34 / $2,985.49	Professional		$1,554.65	$1,986.34	$2,985.49