Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,299.82 / $2,552.56 / $2,552.56	Facility		$2,299.82	$2,552.56	$2,552.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,398.34 / $5,248.09	Professional		$2,100.00	$2,398.34	$5,248.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,001.27 / $5,001.27 / $5,001.27	Professional		$5,001.27	$5,001.27	$5,001.27
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 $2,550.00 / $3,751.10 / $4,617.07	Professional		$2,550.00	$3,751.10	$4,617.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,396.96 / $3,173.90 / $5,063.16	Professional		$2,396.96	$3,173.90	$5,063.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,700.00 / $4,442.76	Professional		$1,300.00	$2,700.00	$4,442.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,552.56 / $2,552.56 / $2,552.56	Facility		$2,552.56	$2,552.56	$2,552.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,145.54 / $2,705.25 / $6,921.00	Professional		$2,145.54	$2,705.25	$6,921.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,285.00 / $6,708.80	Professional		$7.00	$3,285.00	$6,708.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,325.98 / $3,177.09 / $5,070.39	Professional		$2,325.98	$3,177.09	$5,070.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,623.06 / $2,623.06 / $2,720.47	Facility		$2,623.06	$2,623.06	$2,720.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,509.69 / $2,668.68 / $2,773.15	Professional		$2,509.69	$2,668.68	$2,773.15
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,274.41 / $3,016.23 / $4,793.51	Professional		$2,274.41	$3,016.23	$4,793.51