Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.55 / $2,350.03 / $4,185.43	Facility		$1,390.55	$2,350.03	$4,185.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,665.92	Professional		$1,323.35	$1,323.35	$1,665.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,225.66 / $1,435.70 / $8,459.92	Facility		$1,225.66	$1,435.70	$8,459.92
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,373.28 / $1,373.28 / $1,373.28	Professional		$1,373.28	$1,373.28	$1,373.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $1,323.35 / $1,323.35	Facility		$1,248.44	$1,323.35	$1,323.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,431.38	Professional		$1,323.35	$1,323.35	$1,431.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.28 / $1,373.28 / $1,791.82	Professional		$1,373.28	$1,373.28	$1,791.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,390.55 / $2,147.79 / $4,185.43	Facility		$1,390.55	$2,147.79	$4,185.43
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,390.55 / $3,386.90	Professional		$1,323.35	$1,390.55	$3,386.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $1,828.60 / $3,230.20	Professional		$27.40	$1,828.60	$3,230.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $1,323.35 / $1,323.35	Facility		$1,248.44	$1,323.35	$1,323.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,498.13	Professional		$1,323.35	$1,323.35	$1,498.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,431.39 / $1,431.39 / $1,660.95	Facility		$1,431.39	$1,431.39	$1,660.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,431.39 / $1,431.39 / $1,660.95	Professional		$1,431.39	$1,431.39	$1,660.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,887.26	Professional		$1,323.35	$1,402.75	$1,887.26