Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,729.12 / $2,729.12 / $10,561.70	Facility		$2,729.12	$2,729.12	$10,561.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,391.55 / $2,889.65 / $3,896.52	Professional		$2,391.55	$2,889.65	$3,896.52
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 $4,653.42 / $6,111.24 / $6,111.24	Professional		$4,653.42	$6,111.24	$6,111.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $6,111.24	Facility		$4,728.96	$4,728.96	$6,111.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $5,351.21	Professional		$3,452.14	$3,452.14	$5,351.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,622.34 / $6,111.24 / $11,611.36	Professional		$5,622.34	$6,111.24	$11,611.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,729.12 / $2,729.12 / $10,561.70	Facility		$2,729.12	$2,729.12	$10,561.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,391.55 / $2,889.65 / $4,589.03	Professional		$2,391.55	$2,889.65	$4,589.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,139.30 / $8,334.90 / $12,040.20	Professional		$4,139.30	$8,334.90	$12,040.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $6,111.24	Facility		$4,728.96	$4,728.96	$6,111.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $8,475.00	Professional		$3,452.14	$3,452.14	$8,475.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,920.26 / $2,920.26 / $5,816.77	Facility		$2,920.26	$2,920.26	$5,816.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,920.26 / $5,816.77 / $5,933.11	Professional		$2,920.26	$5,816.77	$5,933.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,926.06 / $8,148.31 / $9,777.96	Facility		$6,926.06	$8,148.31	$9,777.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,869.85 / $3,666.74 / $5,339.51	Professional		$2,869.85	$3,666.74	$5,339.51