Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.56 / $1,323.56 / $5,122.18	Facility		$1,323.56	$1,323.56	$5,122.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.75 / $1,401.41 / $1,850.79	Professional		$1,219.75	$1,401.41	$1,850.79
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 $2,256.79 / $2,963.80 / $2,963.80	Professional		$2,256.79	$2,963.80	$2,963.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,177.69	Facility		$2,050.41	$2,050.41	$3,177.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,373.13	Professional		$1,496.80	$1,496.80	$3,373.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,923.47 / $3,177.69 / $6,037.61	Professional		$2,923.47	$3,177.69	$6,037.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,323.56 / $1,323.56 / $5,122.18	Facility		$1,323.56	$1,323.56	$5,122.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,197.99 / $1,413.55 / $2,408.88	Professional		$1,197.99	$1,413.55	$2,408.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,152.30 / $4,333.89 / $6,260.60	Professional		$2,152.30	$4,333.89	$6,260.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,177.69	Facility		$2,050.41	$2,050.41	$3,177.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,373.13	Professional		$1,496.80	$1,496.80	$3,373.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,416.26 / $1,416.26 / $2,820.99	Facility		$1,416.26	$1,416.26	$2,820.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,416.26 / $2,820.99 / $3,024.57	Professional		$1,416.26	$2,820.99	$3,024.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.23 / $1,778.28 / $2,589.54	Professional		$1,386.23	$1,778.28	$2,589.54