Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.98 / $1,767.98 / $6,842.08	Facility		$1,767.98	$1,767.98	$6,842.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.13 / $1,871.98 / $2,795.53	Professional		$1,576.13	$1,871.98	$2,795.53
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 $3,014.58 / $3,958.99 / $3,958.99	Professional		$3,014.58	$3,958.99	$3,958.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $4,027.56	Facility		$3,001.57	$3,001.57	$4,027.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,526.67	Professional		$2,191.15	$2,191.15	$3,526.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.36 / $4,027.56 / $7,652.36	Professional		$3,705.36	$4,027.56	$7,652.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,767.98 / $1,767.98 / $6,842.08	Facility		$1,767.98	$1,767.98	$6,842.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,576.13 / $1,941.31 / $3,217.72	Professional		$1,576.13	$1,941.31	$3,217.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,993.70 / $5,742.70 / $7,935.00	Professional		$4,993.70	$5,742.70	$7,935.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $4,027.56	Facility		$3,001.57	$3,001.57	$4,027.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $5,907.75	Professional		$2,191.15	$2,191.15	$5,907.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,830.51 / $3,768.23 / $3,768.23	Facility		$2,830.51	$3,768.23	$3,768.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,830.51 / $3,768.23 / $4,850.35	Professional		$2,830.51	$3,768.23	$4,850.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.14 / $2,349.37 / $3,459.05	Professional		$1,826.14	$2,349.37	$3,459.05