Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.38 / $1,371.38 / $5,307.24	Facility		$1,371.38	$1,371.38	$5,307.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.75 / $1,452.05 / $2,005.53	Professional		$1,201.75	$1,452.05	$2,005.53
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 $2,338.34 / $3,070.90 / $3,070.90	Professional		$2,338.34	$3,070.90	$3,070.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $3,070.90	Facility		$2,571.77	$2,571.77	$3,070.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $2,688.98	Professional		$1,877.39	$1,877.39	$2,688.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,825.23 / $3,070.90 / $5,834.71	Professional		$2,825.23	$3,070.90	$5,834.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,371.38 / $1,371.38 / $5,307.24	Facility		$1,371.38	$1,371.38	$5,307.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,201.75 / $1,505.83 / $2,495.91	Professional		$1,201.75	$1,505.83	$2,495.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.00 / $4,188.30 / $6,050.20	Professional		$2,080.00	$4,188.30	$6,050.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $3,070.90	Facility		$2,571.77	$2,571.77	$3,070.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $4,608.75	Professional		$1,877.39	$1,877.39	$4,608.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,467.43 / $1,467.43 / $2,922.92	Facility		$1,467.43	$1,467.43	$2,922.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,467.43 / $2,922.92 / $2,981.38	Professional		$1,467.43	$2,922.92	$2,981.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.32 / $1,730.85 / $2,769.36	Professional		$1,436.32	$1,730.85	$2,769.36