Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.55 / $1,297.55 / $5,021.52	Facility		$1,297.55	$1,297.55	$5,021.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.47 / $1,355.63 / $1,575.65	Professional		$1,194.47	$1,355.63	$1,575.65
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 $2,212.46 / $2,905.57 / $2,905.57	Professional		$2,212.46	$2,905.57	$2,905.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $3,138.26	Facility		$1,523.27	$1,523.27	$3,138.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $2,846.15	Professional		$1,111.99	$1,111.99	$2,846.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,990.35 / $3,250.38 / $6,175.72	Professional		$2,990.35	$3,250.38	$6,175.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,297.55 / $1,297.55 / $5,021.52	Facility		$1,297.55	$1,297.55	$5,021.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,194.47 / $1,373.88 / $1,883.00	Professional		$1,194.47	$1,373.88	$1,883.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.60 / $4,433.10 / $6,403.80	Professional		$2,201.60	$4,433.10	$6,403.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,523.27 / $1,523.27 / $3,138.26	Facility		$1,523.27	$1,523.27	$3,138.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $3,427.13	Professional		$1,111.99	$1,111.99	$3,427.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,388.44 / $1,388.44 / $2,765.57	Facility		$1,388.44	$1,388.44	$2,765.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,388.44 / $2,765.57 / $3,093.76	Professional		$1,388.44	$2,765.57	$3,093.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,310.13 / $1,698.90 / $2,620.26	Professional		$1,310.13	$1,698.90	$2,620.26