Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.11 / $1,771.11 / $6,854.20	Facility		$1,771.11	$1,771.11	$6,854.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.18 / $1,875.29 / $2,416.63	Professional		$1,583.18	$1,875.29	$2,416.63
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 $3,019.91 / $3,965.99 / $3,965.99	Professional		$3,019.91	$3,965.99	$3,965.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,045.58	Facility		$2,282.71	$2,282.71	$4,045.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,710.75	Professional		$1,666.39	$1,666.39	$4,710.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,721.93 / $4,045.58 / $7,686.60	Professional		$3,721.93	$4,045.58	$7,686.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,771.11 / $1,771.11 / $6,854.20	Facility		$1,771.11	$1,771.11	$6,854.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,583.18 / $1,875.29 / $3,223.42	Professional		$1,583.18	$1,875.29	$3,223.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.20 / $5,517.60 / $7,970.50	Professional		$2,740.20	$5,517.60	$7,970.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,045.58	Facility		$2,282.71	$2,282.71	$4,045.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,710.75	Professional		$1,666.39	$1,666.39	$4,710.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,895.15 / $1,895.15 / $3,774.89	Facility		$1,895.15	$1,895.15	$3,774.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,895.15 / $3,774.89 / $3,850.64	Professional		$1,895.15	$3,774.89	$3,850.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.54 / $2,235.35 / $3,465.16	Professional		$1,822.54	$2,235.35	$3,465.16