Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.33 / $6,658.12 / $10,240.50	Facility		$1,983.33	$6,658.12	$10,240.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.02 / $1,983.33 / $2,396.75	Professional		$535.02	$1,983.33	$2,396.75
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,079.59 / $2,771.17 / $8,459.92	Facility		$2,079.59	$2,771.17	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,685.28 / $1,909.88 / $1,909.88	Professional		$1,685.28	$1,909.88	$1,909.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.31 / $3,183.12 / $7,162.02	Facility		$1,639.31	$3,183.12	$7,162.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.20 / $2,764.40 / $5,538.06	Professional		$1,289.20	$2,764.40	$5,538.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.33 / $1,958.85 / $4,138.07	Professional		$1,126.33	$1,958.85	$4,138.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,762.96 / $6,658.12 / $10,112.60	Facility		$1,762.96	$6,658.12	$10,112.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $2,007.82 / $10,112.60	Professional		$600.00	$2,007.82	$10,112.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,623.87 / $3,672.84 / $4,897.12	Professional		$3,623.87	$3,672.84	$4,897.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,710.97 / $3,790.26 / $8,125.62	Facility		$1,710.97	$3,790.26	$8,125.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,815.90 / $2,764.40 / $5,538.06	Professional		$1,815.90	$2,764.40	$5,538.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $709.78 / $2,448.56 / $2,448.56	Facility		$709.78	$2,448.56	$2,448.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $709.78 / $2,448.56 / $2,448.56	Professional		$709.78	$2,448.56	$2,448.56
United Facility/Professional Professional Modifier Low / Median / High Price $379.32 / $1,469.14 / $3,427.98	Professional		$379.32	$1,469.14	$3,427.98