Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,781.05 / $2,781.05 / $10,762.70	Facility		$2,781.05	$2,781.05	$10,762.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,562.92 / $2,944.64 / $3,911.23	Professional		$2,562.92	$2,944.64	$3,911.23
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 $4,741.95 / $6,227.51 / $6,227.51	Professional		$4,741.95	$6,227.51	$6,227.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $6,651.81	Facility		$4,366.38	$4,366.38	$6,651.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $5,824.56	Professional		$3,187.46	$3,187.46	$5,824.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,119.67 / $6,651.81 / $12,638.44	Professional		$6,119.67	$6,651.81	$12,638.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,781.05 / $2,781.05 / $10,762.70	Facility		$2,781.05	$2,781.05	$10,762.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,562.92 / $2,944.64 / $4,635.08	Professional		$2,562.92	$2,944.64	$4,635.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,505.50 / $9,072.20 / $13,105.30	Professional		$4,505.50	$9,072.20	$13,105.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $6,651.81	Facility		$4,366.38	$4,366.38	$6,651.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $7,825.13	Professional		$3,187.46	$3,187.46	$7,825.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,975.82 / $2,975.82 / $5,927.44	Facility		$2,975.82	$2,975.82	$5,927.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,975.82 / $5,927.44 / $6,331.30	Professional		$2,975.82	$5,927.44	$6,331.30
United Facility/Professional Professional Modifier Low / Median / High Price $2,924.46 / $3,510.02 / $5,763.36	Professional		$2,924.46	$3,510.02	$5,763.36