Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.85 / $1,493.85 / $5,781.20	Facility		$1,493.85	$1,493.85	$5,781.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.07 / $1,581.72 / $2,038.32	Professional		$1,309.07	$1,581.72	$2,038.32
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 $2,547.16 / $3,345.13 / $3,345.13	Professional		$2,547.16	$3,345.13	$3,345.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $3,345.13	Facility		$2,217.07	$2,217.07	$3,345.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $2,929.12	Professional		$1,618.46	$1,618.46	$2,929.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,077.52 / $3,345.13 / $6,355.75	Professional		$3,077.52	$3,345.13	$6,355.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,493.85 / $1,493.85 / $5,781.20	Facility		$1,493.85	$1,493.85	$5,781.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,309.07 / $1,581.72 / $2,304.75	Professional		$1,309.07	$1,581.72	$2,304.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,147.60 / $4,769.70 / $6,590.50	Professional		$4,147.60	$4,769.70	$6,590.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $3,345.13	Facility		$2,217.07	$2,217.07	$3,345.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $3,973.13	Professional		$1,618.46	$1,618.46	$3,973.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,183.95 / $3,183.95 / $3,183.95	Facility		$3,183.95	$3,183.95	$3,183.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,183.95 / $3,183.95 / $3,262.15	Professional		$3,183.95	$3,183.95	$3,262.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,176.86 / $2,018.42 / $2,301.38	Facility		$1,176.86	$2,018.42	$2,301.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,527.44 / $2,007.08 / $3,016.67	Professional		$1,527.44	$2,007.08	$3,016.67