Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.57 / $1,313.57 / $5,083.52	Facility		$1,313.57	$1,313.57	$5,083.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.08 / $1,390.83 / $1,874.70	Professional		$1,151.08	$1,390.83	$1,874.70
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 $2,239.76 / $2,941.43 / $2,941.43	Professional		$2,239.76	$2,941.43	$2,941.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $2,941.43	Facility		$1,902.78	$1,902.78	$2,941.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $2,575.62	Professional		$1,389.03	$1,389.03	$2,575.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.12 / $2,941.43 / $5,588.72	Professional		$2,706.12	$2,941.43	$5,588.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,313.57 / $1,313.57 / $5,083.52	Facility		$1,313.57	$1,313.57	$5,083.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,151.08 / $1,436.25 / $2,390.69	Professional		$1,151.08	$1,436.25	$2,390.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.40 / $4,011.70 / $5,795.10	Professional		$1,992.40	$4,011.70	$5,795.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $2,941.43	Facility		$1,902.78	$1,902.78	$2,941.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $3,409.88	Professional		$1,389.03	$1,389.03	$3,409.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,405.57 / $1,405.57 / $2,799.70	Facility		$1,405.57	$1,405.57	$2,799.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,405.57 / $2,799.70 / $2,799.70	Professional		$1,405.57	$2,799.70	$2,799.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.77 / $1,723.49 / $2,652.60	Professional		$1,375.77	$1,723.49	$2,652.60