Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.50 / $6,142.50 / $8,155.41	Facility		$1,657.50	$6,142.50	$8,155.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.70 / $1,579.50 / $1,657.50	Professional		$1,298.70	$1,579.50	$1,657.50
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 $1,521.00 / $1,521.00 / $1,521.00	Professional		$1,521.00	$1,521.00	$1,521.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.55 / $2,880.52 / $6,470.73	Facility		$1,850.55	$2,880.52	$6,470.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,632.50 / $4,816.50	Professional		$2,047.50	$2,632.50	$4,816.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,823.25 / $5,536.05 / $7,312.50	Facility		$1,823.25	$5,536.05	$7,312.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,316.25 / $1,657.50 / $7,248.15	Professional		$1,316.25	$1,657.50	$7,248.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.00 / $2,925.00 / $3,900.00	Professional		$2,886.00	$2,925.00	$3,900.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.88 / $3,018.19 / $6,470.73	Facility		$1,897.88	$3,018.19	$6,470.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $2,145.00	Facility		$1,755.00	$1,755.00	$2,145.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $2,145.00	Professional		$1,755.00	$1,755.00	$2,145.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,457.00	Professional		$737.10	$1,053.00	$2,457.00