Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.90 / $2,033.90 / $7,871.19	Facility		$2,033.90	$2,033.90	$7,871.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.40 / $2,153.54 / $2,482.13	Professional		$1,867.40	$2,153.54	$2,482.13
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 $3,467.99 / $4,554.43 / $4,554.43	Professional		$3,467.99	$4,554.43	$4,554.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $5,081.54	Facility		$3,006.81	$3,006.81	$5,081.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $4,449.58	Professional		$2,194.96	$2,194.96	$4,449.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,675.02 / $5,081.54 / $9,654.93	Professional		$4,675.02	$5,081.54	$9,654.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,033.90 / $2,033.90 / $7,871.19	Facility		$2,033.90	$2,033.90	$7,871.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,867.40 / $2,153.54 / $3,103.38	Professional		$1,867.40	$2,153.54	$3,103.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,441.90 / $6,930.50 / $10,011.60	Professional		$3,441.90	$6,930.50	$10,011.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $5,081.54	Facility		$3,006.81	$3,006.81	$5,081.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $5,388.75	Professional		$2,194.96	$2,194.96	$5,388.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,176.35 / $2,176.35 / $4,334.99	Facility		$2,176.35	$2,176.35	$4,334.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,176.35 / $4,334.99 / $4,836.68	Professional		$2,176.35	$4,334.99	$4,836.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,053.61 / $2,732.66 / $4,107.22	Professional		$2,053.61	$2,732.66	$4,107.22