Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.18 / $1,983.18 / $7,674.91	Facility		$1,983.18	$1,983.18	$7,674.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.79 / $2,194.16 / $2,665.43	Professional		$1,885.79	$2,194.16	$2,665.43
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 $3,669.31 / $4,818.83 / $4,818.83	Professional		$3,669.31	$4,818.83	$4,818.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $4,818.83	Facility		$2,756.64	$2,756.64	$4,818.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $5,723.63	Professional		$2,012.35	$2,012.35	$5,723.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,433.32 / $4,818.83 / $9,155.78	Professional		$4,433.32	$4,818.83	$9,155.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,983.18 / $1,983.18 / $7,674.91	Facility		$1,983.18	$1,983.18	$7,674.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,640.49 / $2,278.55 / $3,101.78	Professional		$1,640.49	$2,278.55	$3,101.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,550.30 / $6,273.50 / $9,494.00	Professional		$2,550.30	$6,273.50	$9,494.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $4,818.83	Facility		$2,756.64	$2,756.64	$4,818.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $5,723.63	Professional		$2,012.35	$2,012.35	$5,723.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,445.28 / $4,586.64 / $4,586.64	Facility		$3,445.28	$4,586.64	$4,586.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,445.28 / $4,586.64 / $4,699.29	Professional		$3,445.28	$4,586.64	$4,699.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,844.69 / $2,404.07 / $4,006.78	Professional		$1,844.69	$2,404.07	$4,006.78