Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.64 / $1,328.64 / $5,141.84	Facility		$1,328.64	$1,328.64	$5,141.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.39 / $1,484.29 / $2,035.36	Professional		$1,263.39	$1,484.29	$2,035.36
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 $2,458.26 / $3,228.39 / $3,228.39	Professional		$2,458.26	$3,228.39	$3,228.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $3,228.39	Facility		$2,017.28	$2,017.28	$3,228.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,826.89	Professional		$1,472.61	$1,472.61	$2,826.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,970.12 / $3,228.39 / $6,133.94	Professional		$2,970.12	$3,228.39	$6,133.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,328.64 / $1,328.64 / $5,141.84	Facility		$1,328.64	$1,328.64	$5,141.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,263.39 / $1,526.52 / $2,456.42	Professional		$1,263.39	$1,526.52	$2,456.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,186.69 / $4,603.20 / $6,360.50	Professional		$2,186.69	$4,603.20	$6,360.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $3,228.39	Facility		$2,017.28	$2,017.28	$3,228.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $4,290.75	Professional		$1,472.61	$1,472.61	$4,290.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,542.69 / $1,542.69 / $3,072.83	Facility		$1,542.69	$1,542.69	$3,072.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,542.69 / $3,072.83 / $3,134.29	Professional		$1,542.69	$3,072.83	$3,134.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,334.39 / $1,626.71 / $2,911.39	Professional		$1,334.39	$1,626.71	$2,911.39