Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.16 / $1,094.16 / $4,234.39	Facility		$1,094.16	$1,094.16	$4,234.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.16 / $1,200.52 / $1,712.40	Professional		$1,094.16	$1,200.52	$1,712.40
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 $1,865.66 / $2,450.14 / $2,450.14	Professional		$1,865.66	$2,450.14	$2,450.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,206.42	Facility		$1,787.17	$1,787.17	$3,206.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,724.50	Professional		$1,304.63	$1,304.63	$3,724.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,005.50 / $3,266.85 / $6,207.02	Professional		$3,005.50	$3,266.85	$6,207.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,094.16 / $1,094.16 / $4,234.39	Facility		$1,094.16	$1,094.16	$4,234.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,072.71 / $1,201.44 / $2,059.61	Professional		$1,072.71	$1,201.44	$2,059.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,212.80 / $4,455.50 / $6,436.30	Professional		$2,212.80	$4,455.50	$6,436.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,206.42	Facility		$1,787.17	$1,787.17	$3,206.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,724.50	Professional		$1,304.63	$1,304.63	$3,724.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,170.80 / $1,170.80 / $2,332.08	Facility		$1,170.80	$1,170.80	$2,332.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,170.80 / $2,332.08 / $3,109.44	Professional		$1,170.80	$2,332.08	$3,109.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.03 / $1,470.08 / $2,209.55	Professional		$1,144.03	$1,470.08	$2,209.55