Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,708.91 / $2,708.91 / $10,483.50	Facility		$2,708.91	$2,708.91	$10,483.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,391.63 / $2,868.25 / $3,755.00	Professional		$2,391.63	$2,868.25	$3,755.00
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 $4,618.95 / $6,065.98 / $6,065.98	Professional		$4,618.95	$6,065.98	$6,065.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $6,111.45	Facility		$3,790.37	$3,790.37	$6,111.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $5,351.40	Professional		$2,766.97	$2,766.97	$5,351.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,622.53 / $6,111.45 / $11,611.76	Professional		$5,622.53	$6,111.45	$11,611.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,708.91 / $2,708.91 / $10,483.50	Facility		$2,708.91	$2,708.91	$10,483.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,391.63 / $2,974.48 / $4,930.22	Professional		$2,391.63	$2,974.48	$4,930.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,577.40 / $8,714.10 / $12,040.60	Professional		$7,577.40	$8,714.10	$12,040.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $6,111.45	Facility		$3,790.37	$3,790.37	$6,111.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $7,784.25	Professional		$2,766.97	$2,766.97	$7,784.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,336.92 / $5,773.69 / $5,773.69	Facility		$4,336.92	$5,773.69	$5,773.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,336.92 / $5,773.69 / $6,391.11	Professional		$4,336.92	$5,773.69	$6,391.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,735.17 / $3,554.29 / $5,299.97	Professional		$2,735.17	$3,554.29	$5,299.97