Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,043.89 / $2,043.89 / $7,909.85	Facility		$2,043.89	$2,043.89	$7,909.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,791.08 / $2,164.11 / $2,910.54	Professional		$1,791.08	$2,164.11	$2,910.54
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 $3,485.03 / $4,576.82 / $4,576.82	Professional		$3,485.03	$4,576.82	$4,576.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $4,576.82	Facility		$3,532.34	$3,532.34	$4,576.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,578.61 / $4,007.62	Professional		$2,578.61	$2,578.61	$4,007.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,210.67 / $4,576.82 / $8,695.95	Professional		$4,210.67	$4,576.82	$8,695.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,043.89 / $2,043.89 / $7,909.85	Facility		$2,043.89	$2,043.89	$7,909.85
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,791.08 / $2,164.11 / $3,326.12	Professional		$1,791.08	$2,164.11	$3,326.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,100.10 / $6,242.20 / $9,017.10	Professional		$3,100.10	$6,242.20	$9,017.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $4,576.82	Facility		$3,532.34	$3,532.34	$4,576.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,578.61 / $6,330.38	Professional		$2,578.61	$2,578.61	$6,330.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.04 / $2,187.04 / $4,356.29	Facility		$2,187.04	$2,187.04	$4,356.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.04 / $4,356.29 / $4,443.42	Professional		$2,187.04	$4,356.29	$4,443.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,149.29 / $2,681.73 / $4,127.41	Professional		$2,149.29	$2,681.73	$4,127.41