Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,219.53 / $2,219.53 / $8,589.58	Facility		$2,219.53	$2,219.53	$8,589.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.99 / $2,350.09 / $3,028.53	Professional		$1,944.99	$2,350.09	$3,028.53
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 $3,784.50 / $4,970.12 / $4,970.12	Professional		$3,784.50	$4,970.12	$4,970.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $4,970.12	Facility		$3,294.10	$3,294.10	$4,970.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $4,352.01	Professional		$2,404.69	$2,404.69	$4,352.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,572.51 / $4,970.12 / $9,443.23	Professional		$4,572.51	$4,970.12	$9,443.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,219.53 / $2,219.53 / $8,589.58	Facility		$2,219.53	$2,219.53	$8,589.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,944.99 / $2,350.09 / $4,039.54	Professional		$1,944.99	$2,350.09	$4,039.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,162.30 / $7,086.70 / $9,792.00	Professional		$6,162.30	$7,086.70	$9,792.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $4,970.12	Facility		$3,294.10	$3,294.10	$4,970.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $5,903.25	Professional		$2,404.69	$2,404.69	$5,903.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,553.43 / $4,730.63 / $4,730.63	Facility		$3,553.43	$4,730.63	$4,730.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,553.43 / $4,730.63 / $4,846.85	Professional		$3,553.43	$4,730.63	$4,846.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,269.44 / $2,686.16 / $4,342.49	Professional		$2,269.44	$2,686.16	$4,342.49