Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,569.33 / $4,288.99 / $7,733.43	Facility		$2,569.33	$4,288.99	$7,733.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,078.11	Professional		$2,608.16	$2,608.16	$3,078.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,415.63 / $2,829.60 / $8,459.92	Facility		$2,415.63	$2,829.60	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,706.58 / $2,706.58 / $2,706.58	Professional		$2,706.58	$2,706.58	$2,706.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,608.16 / $2,608.16	Facility		$2,460.53	$2,608.16	$2,608.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,706.58	Professional		$2,608.16	$2,608.16	$2,706.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.58 / $2,829.60 / $3,531.45	Professional		$2,706.58	$2,829.60	$3,531.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,569.33 / $3,968.47 / $7,733.43	Facility		$2,569.33	$3,968.47	$7,733.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,569.33 / $2,620.21 / $5,397.93	Professional		$2,569.33	$2,620.21	$5,397.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $2,374.30 / $4,352.50	Professional		$27.40	$2,374.30	$4,352.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,460.53 / $2,608.16 / $2,608.16	Facility		$2,460.53	$2,608.16	$2,608.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,829.60	Professional		$2,608.16	$2,608.16	$2,829.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,320.12 / $2,320.12 / $2,692.21	Facility		$2,320.12	$2,320.12	$2,692.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,320.12 / $2,320.12 / $2,692.21	Professional		$2,320.12	$2,320.12	$2,692.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,601.87	Professional		$2,608.16	$2,764.65	$3,601.87