Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.03 / $1,549.03 / $5,994.75	Facility		$1,549.03	$1,549.03	$5,994.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.95 / $1,779.74 / $2,183.23	Professional		$1,472.95	$1,779.74	$2,183.23
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 $2,866.04 / $3,763.92 / $3,763.92	Professional		$2,866.04	$3,763.92	$3,763.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $3,763.92	Facility		$2,326.75	$2,326.75	$3,763.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $3,295.81	Professional		$1,698.53	$1,698.53	$3,295.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,462.81 / $3,763.92 / $7,151.45	Professional		$3,462.81	$3,763.92	$7,151.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,549.03 / $1,549.03 / $5,994.75	Facility		$1,549.03	$1,549.03	$5,994.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,472.95 / $1,812.70 / $2,379.41	Professional		$1,472.95	$1,812.70	$2,379.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.10 / $1,956.60 / $7,415.60	Professional		$1,489.10	$1,956.60	$7,415.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $3,763.92	Facility		$2,326.75	$2,326.75	$3,763.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $4,470.75	Professional		$1,698.53	$1,698.53	$4,470.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,691.02 / $3,582.55 / $3,582.55	Facility		$2,691.02	$3,582.55	$3,582.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.02 / $3,582.55 / $3,670.52	Professional		$2,691.02	$3,582.55	$3,670.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,440.49 / $1,877.77 / $3,129.62	Professional		$1,440.49	$1,877.77	$3,129.62