Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.54 / $1,723.54 / $6,670.10	Facility		$1,723.54	$1,723.54	$6,670.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.07 / $1,824.92 / $2,522.88	Professional		$1,496.07	$1,824.92	$2,522.88
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 $2,938.81 / $3,859.48 / $3,859.48	Professional		$2,938.81	$3,859.48	$3,859.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,822.98	Facility		$3,297.39	$3,297.39	$3,822.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $3,396.31	Professional		$2,407.09	$2,407.09	$3,396.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,517.14 / $3,822.98 / $7,263.66	Professional		$3,517.14	$3,822.98	$7,263.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,723.54 / $1,723.54 / $6,670.10	Facility		$1,723.54	$1,723.54	$6,670.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,496.07 / $1,824.92 / $2,911.02	Professional		$1,496.07	$1,824.92	$2,911.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,740.00 / $5,451.00 / $7,532.00	Professional		$4,740.00	$5,451.00	$7,532.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,822.98	Facility		$3,297.39	$3,297.39	$3,822.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $2,407.09 / $5,909.25	Professional		$2,407.09	$2,407.09	$5,909.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,759.35 / $3,673.51 / $3,673.51	Facility		$2,759.35	$3,673.51	$3,673.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,759.35 / $3,673.51 / $4,851.70	Professional		$2,759.35	$3,673.51	$4,851.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,332.71 / $5,097.31 / $6,116.77	Facility		$4,332.71	$5,097.31	$6,116.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.15 / $2,315.69 / $3,372.10	Professional		$1,805.15	$2,315.69	$3,372.10