Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,963.23 / $1,963.23 / $7,597.70	Facility		$1,963.23	$1,963.23	$7,597.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.83 / $2,078.71 / $2,585.56	Professional		$1,665.83	$2,078.71	$2,585.56
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 $3,347.50 / $4,396.20 / $4,396.20	Professional		$3,347.50	$4,396.20	$4,396.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $4,256.76	Facility		$3,364.97	$3,364.97	$4,256.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,727.37	Professional		$2,456.42	$2,456.42	$3,727.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,916.22 / $4,256.76 / $8,087.84	Professional		$3,916.22	$4,256.76	$8,087.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,963.23 / $1,963.23 / $7,597.70	Facility		$1,963.23	$1,963.23	$7,597.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,665.83 / $2,078.71 / $3,573.08	Professional		$1,665.83	$2,078.71	$3,573.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,883.20 / $5,805.60 / $8,386.60	Professional		$2,883.20	$5,805.60	$8,386.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $4,256.76	Facility		$3,364.97	$3,364.97	$4,256.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $5,457.75	Professional		$2,456.42	$2,456.42	$5,457.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,100.73 / $2,100.73 / $4,184.37	Facility		$2,100.73	$2,100.73	$4,184.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,100.73 / $4,184.37 / $4,268.06	Professional		$2,100.73	$4,184.37	$4,268.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,029.53 / $2,554.06 / $3,964.52	Professional		$2,029.53	$2,554.06	$3,964.52