Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,756.68 / $2,756.68 / $10,668.40	Facility		$2,756.68	$2,756.68	$10,668.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,415.69 / $2,918.84 / $3,891.79	Professional		$2,415.69	$2,918.84	$3,891.79
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 $4,700.42 / $6,172.96 / $6,172.96	Professional		$4,700.42	$6,172.96	$6,172.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $6,172.96	Facility		$4,865.01	$4,865.01	$6,172.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $5,405.26	Professional		$3,551.46	$3,551.46	$5,405.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,679.12 / $6,172.96 / $11,728.62	Professional		$5,679.12	$6,172.96	$11,728.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,756.68 / $2,756.68 / $10,668.40	Facility		$2,756.68	$2,756.68	$10,668.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,415.69 / $2,918.84 / $4,675.47	Professional		$2,415.69	$2,918.84	$4,675.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,181.10 / $8,419.10 / $12,161.80	Professional		$4,181.10	$8,419.10	$12,161.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $6,172.96	Facility		$4,865.01	$4,865.01	$6,172.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $8,718.75	Professional		$3,551.46	$3,551.46	$8,718.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,949.77 / $2,949.77 / $5,875.52	Facility		$2,949.77	$2,949.77	$5,875.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,949.77 / $5,875.52 / $5,993.03	Professional		$2,949.77	$5,875.52	$5,993.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,783.41 / $3,616.97 / $5,566.82	Professional		$2,783.41	$3,616.97	$5,566.82