Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,470.31 / $2,470.31 / $9,560.10	Facility		$2,470.31	$2,470.31	$9,560.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,276.56 / $2,615.63 / $3,411.31	Professional		$2,276.56	$2,615.63	$3,411.31
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 $4,212.13 / $5,531.70 / $5,531.70	Professional		$4,212.13	$5,531.70	$5,531.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $5,902.08	Facility		$4,072.36	$4,072.36	$5,902.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $5,168.07	Professional		$2,972.82	$2,972.82	$5,168.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,429.91 / $5,902.08 / $11,213.95	Professional		$5,429.91	$5,902.08	$11,213.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,470.31 / $2,470.31 / $9,560.10	Facility		$2,470.31	$2,470.31	$9,560.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,276.56 / $2,615.63 / $4,495.96	Professional		$2,276.56	$2,615.63	$4,495.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,997.70 / $8,049.60 / $11,628.20	Professional		$3,997.70	$8,049.60	$11,628.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,072.36 / $4,072.36 / $5,902.08	Facility		$4,072.36	$4,072.36	$5,902.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $7,298.25	Professional		$2,972.82	$2,972.82	$7,298.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,643.33 / $2,643.33 / $5,265.16	Facility		$2,643.33	$2,643.33	$5,265.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,643.33 / $5,265.16 / $5,617.69	Professional		$2,643.33	$5,265.16	$5,617.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,582.89 / $3,186.38 / $4,939.33	Professional		$2,582.89	$3,186.38	$4,939.33