Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.39 / $1,264.39 / $4,893.18	Facility		$1,264.39	$1,264.39	$4,893.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.22 / $1,338.77 / $1,809.49	Professional		$1,165.22	$1,338.77	$1,809.49
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 $2,155.91 / $2,831.32 / $2,831.32	Professional		$2,155.91	$2,831.32	$2,831.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,111.98	Facility		$1,769.18	$1,769.18	$3,111.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $2,724.96	Professional		$1,291.50	$1,291.50	$2,724.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,863.02 / $3,111.98 / $5,912.76	Professional		$2,863.02	$3,111.98	$5,912.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,264.39 / $1,264.39 / $4,893.18	Facility		$1,264.39	$1,264.39	$4,893.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,203.04 / $1,338.77 / $2,301.19	Professional		$1,203.04	$1,338.77	$2,301.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,107.90 / $4,244.30 / $6,131.20	Professional		$2,107.90	$4,244.30	$6,131.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,111.98	Facility		$1,769.18	$1,769.18	$3,111.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $3,935.63	Professional		$1,291.50	$1,291.50	$3,935.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,352.95 / $1,352.95 / $2,694.89	Facility		$1,352.95	$1,352.95	$2,694.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,352.95 / $2,694.89 / $2,962.03	Professional		$1,352.95	$2,694.89	$2,962.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.65 / $1,678.52 / $2,553.30	Professional		$1,276.65	$1,678.52	$2,553.30