Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,438.50 / $2,438.50 / $9,437.00	Facility		$2,438.50	$2,438.50	$9,437.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,247.23 / $2,581.94 / $3,275.66	Professional		$2,247.23	$2,581.94	$3,275.66
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 $4,157.88 / $5,460.46 / $5,460.46	Professional		$4,157.88	$5,460.46	$5,460.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $5,195.68	Facility		$3,728.42	$3,728.42	$5,195.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $4,549.53	Professional		$2,721.75	$2,721.75	$4,549.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.03 / $5,195.68 / $9,871.81	Professional		$4,780.03	$5,195.68	$9,871.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,438.50 / $2,438.50 / $9,437.00	Facility		$2,438.50	$2,438.50	$9,437.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,305.08 / $2,677.57 / $4,438.07	Professional		$2,305.08	$2,677.57	$4,438.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,442.00 / $7,408.30 / $10,236.40	Professional		$6,442.00	$7,408.30	$10,236.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $5,195.68	Facility		$3,728.42	$3,728.42	$5,195.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $6,680.25	Professional		$2,721.75	$2,721.75	$6,680.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,904.00 / $5,197.35 / $5,197.35	Facility		$3,904.00	$5,197.35	$5,197.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,904.00 / $5,197.35 / $5,484.70	Professional		$3,904.00	$5,197.35	$5,484.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,562.50 / $3,276.28 / $4,770.92	Professional		$2,562.50	$3,276.28	$4,770.92