Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,039.02 / $2,039.02 / $7,891.01	Facility		$2,039.02	$2,039.02	$7,891.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,786.81 / $2,158.96 / $3,043.95	Professional		$1,786.81	$2,158.96	$3,043.95
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 $3,476.74 / $4,565.92 / $4,565.92	Professional		$3,476.74	$4,565.92	$4,565.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $4,565.92	Facility		$2,853.06	$2,853.06	$4,565.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $3,998.08	Professional		$2,082.73	$2,082.73	$3,998.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,200.64 / $4,565.92 / $8,675.25	Professional		$4,200.64	$4,565.92	$8,675.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,039.02 / $2,039.02 / $7,891.01	Facility		$2,039.02	$2,039.02	$7,891.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,786.81 / $2,158.96 / $3,292.72	Professional		$1,786.81	$2,158.96	$3,292.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,092.60 / $6,227.30 / $8,995.70	Professional		$3,092.60	$6,227.30	$8,995.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $4,565.92	Facility		$2,853.06	$2,853.06	$4,565.92
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $6,673.50	Professional		$2,082.73	$2,082.73	$6,673.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,181.84 / $2,181.84 / $4,345.92	Facility		$2,181.84	$2,181.84	$4,345.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,181.84 / $4,345.92 / $4,432.84	Professional		$2,181.84	$4,345.92	$4,432.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.17 / $2,739.55 / $4,117.58	Professional		$2,144.17	$2,739.55	$4,117.58