Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.75 / $1,041.75 / $4,031.57	Facility		$1,041.75	$1,041.75	$4,031.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.71 / $1,103.03 / $1,502.18	Professional		$1,001.71	$1,103.03	$1,502.18
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 $1,776.30 / $2,332.77 / $2,332.77	Professional		$1,776.30	$2,332.77	$2,332.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $2,725.82	Facility		$1,823.10	$1,823.10	$2,725.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $2,386.82	Professional		$1,330.86	$1,330.86	$2,386.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.75 / $2,725.82 / $5,179.06	Professional		$2,507.75	$2,725.82	$5,179.06
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,041.75 / $1,041.75 / $4,031.57	Facility		$1,041.75	$1,041.75	$4,031.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,001.71 / $1,143.88 / $1,895.99	Professional		$1,001.71	$1,143.88	$1,895.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.30 / $3,717.60 / $5,370.30	Professional		$1,846.30	$3,717.60	$5,370.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $2,725.82	Facility		$1,823.10	$1,823.10	$2,725.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $3,267.38	Professional		$1,330.86	$1,330.86	$3,267.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,114.72 / $1,114.72 / $2,220.37	Facility		$1,114.72	$1,114.72	$2,220.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,114.72 / $2,220.37 / $2,594.46	Professional		$1,114.72	$2,220.37	$2,594.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.47 / $1,402.82 / $2,103.71	Professional		$1,095.47	$1,402.82	$2,103.71