Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.17 / $1,954.17 / $7,562.64	Facility		$1,954.17	$1,954.17	$7,562.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.46 / $2,069.12 / $2,666.48	Professional		$1,712.46	$2,069.12	$2,666.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,719.53 / $3,719.53 / $3,719.53	Professional		$3,719.53	$3,719.53	$3,719.53
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 $3,332.06 / $4,375.92 / $4,375.92	Professional		$3,332.06	$4,375.92	$4,375.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $4,375.91	Facility		$2,502.67	$2,502.67	$4,375.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $3,831.70	Professional		$1,826.95	$1,826.95	$3,831.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,025.84 / $4,375.91 / $8,314.23	Professional		$4,025.84	$4,375.91	$8,314.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,954.17 / $1,954.17 / $7,562.64	Facility		$1,954.17	$1,954.17	$7,562.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,712.46 / $2,145.76 / $3,556.59	Professional		$1,712.46	$2,145.76	$3,556.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,963.90 / $5,968.20 / $8,621.29	Professional		$2,963.90	$5,968.20	$8,621.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $4,375.91	Facility		$2,502.67	$2,502.67	$4,375.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $5,197.50	Professional		$1,826.95	$1,826.95	$5,197.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,128.62 / $4,165.07 / $4,165.07	Facility		$3,128.62	$4,165.07	$4,165.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,128.62 / $4,165.07 / $4,267.42	Professional		$3,128.62	$4,165.07	$4,267.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,998.13 / $2,466.41 / $3,706.91	Professional		$1,998.13	$2,466.41	$3,706.91