Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.01 / $1,211.01 / $4,686.60	Facility		$1,211.01	$1,211.01	$4,686.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.84 / $1,391.37 / $1,851.83	Professional		$1,154.84	$1,391.37	$1,851.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,240.63 / $2,942.58 / $2,942.58	Professional		$2,240.63	$2,942.58	$2,942.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $2,951.03	Facility		$1,815.81	$1,815.81	$2,951.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $2,584.03	Professional		$1,325.54	$1,325.54	$2,584.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,714.95 / $2,951.03 / $5,606.96	Professional		$2,714.95	$2,951.03	$5,606.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,211.01 / $1,211.01 / $4,686.60	Facility		$1,211.01	$1,211.01	$4,686.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,154.84 / $1,391.37 / $2,145.34	Professional		$1,154.84	$1,391.37	$2,145.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.80 / $4,024.80 / $5,814.10	Professional		$1,998.80	$4,024.80	$5,814.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $2,951.03	Facility		$1,815.81	$1,815.81	$2,951.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $3,733.50	Professional		$1,325.54	$1,325.54	$3,733.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,103.82 / $2,800.79 / $2,800.79	Facility		$2,103.82	$2,800.79	$2,800.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,103.82 / $2,800.79 / $3,065.32	Professional		$2,103.82	$2,800.79	$3,065.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.09 / $1,475.16 / $2,934.07	Professional		$1,215.09	$1,475.16	$2,934.07