Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.72 / $1,109.72 / $4,294.62	Facility		$1,109.72	$1,109.72	$4,294.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.46 / $1,175.00 / $1,734.50	Professional		$972.46	$1,175.00	$1,734.50
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 $1,892.18 / $2,484.96 / $2,484.96	Professional		$1,892.18	$2,484.96	$2,484.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $2,484.96	Facility		$1,552.76	$1,552.76	$2,484.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,519.75	Professional		$1,133.51	$1,133.51	$3,519.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.16 / $2,484.96 / $4,721.42	Professional		$2,286.16	$2,484.96	$4,721.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,109.72 / $1,109.72 / $4,294.62	Facility		$1,109.72	$1,109.72	$4,294.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $972.46 / $1,218.52 / $2,019.69	Professional		$972.46	$1,218.52	$2,019.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.10 / $3,389.20 / $4,895.80	Professional		$1,683.10	$3,389.20	$4,895.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $2,484.96	Facility		$1,552.76	$1,552.76	$2,484.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,519.75	Professional		$1,133.51	$1,133.51	$3,519.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,187.45 / $1,187.45 / $2,365.23	Facility		$1,187.45	$1,187.45	$2,365.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,187.45 / $2,365.23 / $2,412.53	Professional		$1,187.45	$2,365.23	$2,412.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.95 / $1,456.03 / $2,240.96	Professional		$1,166.95	$1,456.03	$2,240.96