Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.85 / $1,531.85 / $5,928.26	Facility		$1,531.85	$1,531.85	$5,928.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.49 / $1,748.51 / $2,082.05	Professional		$1,382.49	$1,748.51	$2,082.05
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 $2,834.26 / $3,722.17 / $3,722.17	Professional		$2,834.26	$3,722.17	$3,722.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $3,532.74	Facility		$2,507.59	$2,507.59	$3,532.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $3,093.39	Professional		$1,830.54	$1,830.54	$3,093.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,250.12 / $3,532.74 / $6,712.21	Professional		$3,250.12	$3,532.74	$6,712.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,531.85 / $1,531.85 / $5,928.26	Facility		$1,531.85	$1,531.85	$5,928.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,382.49 / $1,760.00 / $2,376.06	Professional		$1,382.49	$1,760.00	$2,376.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.80 / $4,818.20 / $6,960.10	Professional		$2,392.80	$4,818.20	$6,960.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $3,532.74	Facility		$2,507.59	$2,507.59	$3,532.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $4,494.00	Professional		$1,830.54	$1,830.54	$4,494.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,661.20 / $3,542.82 / $3,542.82	Facility		$2,661.20	$3,542.82	$3,542.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,661.20 / $3,542.82 / $3,689.61	Professional		$2,661.20	$3,542.82	$3,689.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.19 / $1,856.95 / $3,252.13	Professional		$1,477.19	$1,856.95	$3,252.13