Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.66 / $1,659.66 / $6,422.88	Facility		$1,659.66	$1,659.66	$6,422.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.48 / $1,757.29 / $2,242.15	Professional		$1,464.48	$1,757.29	$2,242.15
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 $2,829.89 / $3,716.43 / $3,716.43	Professional		$2,829.89	$3,716.43	$3,716.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $3,742.23	Facility		$2,677.88	$2,677.88	$3,742.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $3,276.83	Professional		$1,954.85	$1,954.85	$3,276.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,442.85 / $3,742.23 / $7,110.24	Professional		$3,442.85	$3,742.23	$7,110.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,659.66 / $1,659.66 / $6,422.88	Facility		$1,659.66	$1,659.66	$6,422.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,464.48 / $1,822.37 / $3,020.58	Professional		$1,464.48	$1,822.37	$3,020.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,534.69 / $5,103.89 / $7,372.90	Professional		$2,534.69	$5,103.89	$7,372.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $3,742.23	Facility		$2,677.88	$2,677.88	$3,742.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $4,370.63	Professional		$1,954.85	$1,954.85	$4,370.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,657.10 / $3,537.36 / $3,537.36	Facility		$2,657.10	$3,537.36	$3,537.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,657.10 / $3,537.36 / $3,588.36	Professional		$2,657.10	$3,537.36	$3,588.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,720.36 / $2,229.86 / $3,351.52	Professional		$1,720.36	$2,229.86	$3,351.52