Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.83 / $2,264.83 / $8,764.89	Facility		$2,264.83	$2,264.83	$8,764.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,087.19 / $2,398.06 / $3,015.21	Professional		$2,087.19	$2,398.06	$3,015.21
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 $3,861.76 / $5,071.58 / $5,071.58	Professional		$3,861.76	$5,071.58	$5,071.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $5,335.11	Facility		$3,578.08	$3,578.08	$5,335.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $6,412.50	Professional		$2,612.00	$2,612.00	$6,412.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.30 / $5,335.11 / $10,136.70	Professional		$4,908.30	$5,335.11	$10,136.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,264.83 / $2,264.83 / $8,764.89	Facility		$2,264.83	$2,264.83	$8,764.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,087.19 / $2,425.84 / $4,121.99	Professional		$2,087.19	$2,425.84	$4,121.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,613.60 / $7,276.40 / $10,511.10	Professional		$3,613.60	$7,276.40	$10,511.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $5,335.11	Facility		$3,578.08	$3,578.08	$5,335.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $6,412.50	Professional		$2,612.00	$2,612.00	$6,412.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,423.48 / $2,423.48 / $4,827.20	Facility		$2,423.48	$2,423.48	$4,827.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,423.48 / $4,827.20 / $5,078.04	Professional		$2,423.48	$4,827.20	$5,078.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,411.02 / $3,042.95 / $5,335.11	Professional		$2,411.02	$3,042.95	$5,335.11