Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,414.42 / $2,414.42 / $9,343.84	Facility		$2,414.42	$2,414.42	$9,343.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,556.44 / $3,627.18	Professional		$2,048.67	$2,556.44	$3,627.18
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 $4,116.83 / $5,406.56 / $5,406.56	Professional		$4,116.83	$5,406.56	$5,406.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $5,235.09	Facility		$3,745.37	$3,745.37	$5,235.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $6,712.13	Professional		$2,734.12	$2,734.12	$6,712.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,816.28 / $5,235.09 / $9,946.67	Professional		$4,816.28	$5,235.09	$9,946.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,414.42 / $2,414.42 / $9,343.84	Facility		$2,414.42	$2,414.42	$9,343.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,556.44 / $4,394.26	Professional		$2,048.67	$2,556.44	$4,394.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,545.80 / $7,140.00 / $10,314.10	Professional		$3,545.80	$7,140.00	$10,314.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $5,235.09	Facility		$3,745.37	$3,745.37	$5,235.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $6,712.13	Professional		$2,734.12	$2,734.12	$6,712.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,583.52 / $2,583.52 / $5,146.04	Facility		$2,583.52	$2,583.52	$5,146.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,583.52 / $5,146.04 / $5,248.96	Professional		$2,583.52	$5,146.04	$5,248.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,528.75 / $3,243.94 / $4,875.66	Professional		$2,528.75	$3,243.94	$4,875.66