Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.24 / $1,559.24 / $6,034.26	Facility		$1,559.24	$1,559.24	$6,034.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.10 / $1,650.96 / $2,001.57	Professional		$1,433.10	$1,650.96	$2,001.57
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 $2,658.66 / $3,491.57 / $3,491.57	Professional		$2,658.66	$3,491.57	$3,491.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $3,662.06	Facility		$2,375.33	$2,375.33	$3,662.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $3,206.62	Professional		$1,733.99	$1,733.99	$3,206.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,369.10 / $3,662.06 / $6,957.91	Professional		$3,369.10	$3,662.06	$6,957.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,559.24 / $1,559.24 / $6,034.26	Facility		$1,559.24	$1,559.24	$6,034.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,409.56 / $1,650.96 / $2,346.77	Professional		$1,409.56	$1,650.96	$2,346.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $4,994.50 / $7,214.90	Professional		$2,480.40	$4,994.50	$7,214.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,375.33 / $2,375.33 / $3,662.06	Facility		$2,375.33	$2,375.33	$3,662.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $4,257.00	Professional		$1,733.99	$1,733.99	$4,257.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,668.44 / $1,668.44 / $3,323.33	Facility		$1,668.44	$1,668.44	$3,323.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,668.44 / $3,323.33 / $3,485.60	Professional		$1,668.44	$3,323.33	$3,485.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,834.85 / $4,511.59 / $5,413.91	Facility		$3,834.85	$4,511.59	$5,413.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,633.07 / $2,094.94 / $3,131.39	Professional		$1,633.07	$2,094.94	$3,131.39