Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.43 / $1,480.43 / $5,729.26	Facility		$1,480.43	$1,480.43	$5,729.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.45 / $1,624.33 / $2,173.42	Professional		$1,448.45	$1,624.33	$2,173.42
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 $2,524.27 / $3,315.08 / $3,315.08	Professional		$2,524.27	$3,315.08	$3,315.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,312.06	Facility		$2,637.76	$2,637.76	$4,312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $3,870.40	Professional		$1,925.56	$1,925.56	$3,870.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,066.50 / $4,420.10 / $8,398.20	Professional		$4,066.50	$4,420.10	$8,398.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,480.43 / $1,480.43 / $5,729.26	Facility		$1,480.43	$1,480.43	$5,729.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,451.40 / $1,625.57 / $2,472.33	Professional		$1,451.40	$1,625.57	$2,472.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,993.80 / $6,028.40 / $8,708.40	Professional		$2,993.80	$6,028.40	$8,708.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,312.06	Facility		$2,637.76	$2,637.76	$4,312.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $4,727.25	Professional		$1,925.56	$1,925.56	$4,727.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.11 / $1,584.11 / $3,155.34	Facility		$1,584.11	$1,584.11	$3,155.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.11 / $3,155.34 / $4,207.12	Professional		$1,584.11	$3,155.34	$4,207.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,550.53 / $1,868.48 / $3,068.15	Professional		$1,550.53	$1,868.48	$3,068.15