Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $5,711.24 / $7,419.73	Facility		$2,429.89	$5,711.24	$7,419.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,953.25	Professional		$2,429.89	$2,429.89	$2,953.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,250.52 / $2,636.20 / $8,459.92	Facility		$2,250.52	$2,636.20	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,521.58 / $2,521.58 / $2,521.58	Professional		$2,521.58	$2,521.58	$2,521.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $2,429.89 / $2,429.89	Facility		$2,292.35	$2,429.89	$2,429.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,521.59	Professional		$2,429.89	$2,429.89	$2,521.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,341.61 / $2,341.61 / $3,039.66	Professional		$2,341.61	$2,341.61	$3,039.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,465.11 / $4,166.04 / $7,419.73	Facility		$2,465.11	$4,166.04	$7,419.73
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,465.11 / $5,198.92	Professional		$2,429.89	$2,465.11	$5,198.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $3,938.90 / $4,790.60	Professional		$27.40	$3,938.90	$4,790.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $2,429.89 / $2,429.89	Facility		$2,292.35	$2,429.89	$2,429.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,636.20	Professional		$2,429.89	$2,429.89	$2,636.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,244.92 / $2,244.92 / $2,604.94	Facility		$2,244.92	$2,244.92	$2,604.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,244.92 / $2,244.92 / $2,604.94	Professional		$2,244.92	$2,244.92	$2,604.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $3,207.45	Professional		$2,429.89	$2,575.67	$3,207.45