Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.33 / $1,113.33 / $4,308.63	Facility		$1,113.33	$1,113.33	$4,308.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.47 / $1,178.83 / $1,475.92	Professional		$956.47	$1,178.83	$1,475.92
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 $1,898.34 / $2,493.06 / $2,493.06	Professional		$1,898.34	$2,493.06	$2,493.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,444.09	Facility		$1,654.54	$1,654.54	$2,444.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $2,140.14	Professional		$1,207.81	$1,207.81	$2,140.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.56 / $2,444.09 / $4,643.77	Professional		$2,248.56	$2,444.09	$4,643.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,113.33 / $1,113.33 / $4,308.63	Facility		$1,113.33	$1,113.33	$4,308.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $956.47 / $1,178.83 / $2,026.28	Professional		$956.47	$1,178.83	$2,026.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.40 / $3,333.40 / $4,815.30	Professional		$1,655.40	$3,333.40	$4,815.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,444.09	Facility		$1,654.54	$1,654.54	$2,444.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $2,780.63	Professional		$1,207.81	$1,207.81	$2,780.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,191.31 / $1,191.31 / $2,372.92	Facility		$1,191.31	$1,191.31	$2,372.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,191.31 / $2,326.33 / $2,372.92	Professional		$1,191.31	$2,326.33	$2,372.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,495.84 / $2,444.09	Professional		$1,166.05	$1,495.84	$2,444.09