Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.24 / $1,121.24 / $4,339.20	Facility		$1,121.24	$1,121.24	$4,339.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.30 / $1,187.19 / $1,623.36	Professional		$1,033.30	$1,187.19	$1,623.36
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 $1,911.82 / $2,510.75 / $2,510.75	Professional		$1,911.82	$2,510.75	$2,510.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,791.85	Facility		$2,119.51	$2,119.51	$2,791.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,444.65	Professional		$1,547.24	$1,547.24	$2,444.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,568.50 / $2,791.85 / $5,304.52	Professional		$2,568.50	$2,791.85	$5,304.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,121.24 / $1,121.24 / $4,339.20	Facility		$1,121.24	$1,121.24	$4,339.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,092.55 / $1,231.16 / $2,040.66	Professional		$1,092.55	$1,231.16	$2,040.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,461.60 / $3,980.80 / $5,500.50	Professional		$3,461.60	$3,980.80	$5,500.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,791.85	Facility		$2,119.51	$2,119.51	$2,791.85
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $3,530.63	Professional		$1,547.24	$1,547.24	$3,530.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,795.08 / $2,389.77 / $2,389.77	Facility		$1,795.08	$2,389.77	$2,389.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,795.08 / $2,389.77 / $2,898.86	Professional		$1,795.08	$2,389.77	$2,898.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.33 / $1,356.97 / $2,264.21	Professional		$1,174.33	$1,356.97	$2,264.21