Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $4,605.30 / $8,202.07	Facility		$2,698.05	$4,605.30	$8,202.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $3,264.64	Professional		$2,698.05	$2,725.03	$3,264.64
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,498.89 / $2,927.13 / $8,459.92	Facility		$2,498.89	$2,927.13	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,799.87 / $2,799.87 / $2,799.87	Professional		$2,799.87	$2,799.87	$2,799.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,698.05 / $2,698.05	Facility		$2,545.33	$2,698.05	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,799.87	Professional		$2,698.05	$2,698.05	$2,799.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.98 / $2,575.98 / $3,375.11	Professional		$2,575.98	$2,575.98	$3,375.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,725.03 / $4,208.96 / $8,202.07	Facility		$2,725.03	$4,208.96	$8,202.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $6,134.73	Professional		$2,698.05	$2,725.03	$6,134.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $4,453.30 / $5,416.20	Professional		$27.40	$4,453.30	$5,416.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,545.33 / $2,698.05 / $2,698.05	Facility		$2,545.33	$2,698.05	$2,698.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,870.78	Professional		$2,698.05	$2,698.05	$2,870.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,477.62 / $2,477.62 / $2,874.98	Facility		$2,477.62	$2,477.62	$2,874.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,477.62 / $2,477.62 / $2,874.98	Professional		$2,477.62	$2,477.62	$2,874.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,859.93 / $3,726.01	Professional		$2,698.05	$2,859.93	$3,726.01