Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,783.36 / $1,783.36 / $6,901.60	Facility		$1,783.36	$1,783.36	$6,901.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.32 / $1,888.27 / $2,500.86	Professional		$1,552.32	$1,888.27	$2,500.86
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 $3,040.81 / $3,993.44 / $3,993.44	Professional		$3,040.81	$3,993.44	$3,993.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $3,966.74	Facility		$2,728.17	$2,728.17	$3,966.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $5,087.25	Professional		$1,991.56	$1,991.56	$5,087.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,649.40 / $3,966.74 / $7,536.81	Professional		$3,649.40	$3,966.74	$7,536.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,783.36 / $1,783.36 / $6,901.60	Facility		$1,783.36	$1,783.36	$6,901.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,552.32 / $1,888.27 / $2,860.91	Professional		$1,552.32	$1,888.27	$2,860.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,686.80 / $5,410.10 / $7,815.20	Professional		$2,686.80	$5,410.10	$7,815.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $3,966.74	Facility		$2,728.17	$2,728.17	$3,966.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $5,087.25	Professional		$1,991.56	$1,991.56	$5,087.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,908.27 / $1,908.27 / $3,801.01	Facility		$1,908.27	$1,908.27	$3,801.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,908.27 / $3,801.01 / $3,877.03	Professional		$1,908.27	$3,801.01	$3,877.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,800.65 / $2,352.92 / $3,601.31	Professional		$1,800.65	$2,352.92	$3,601.31