Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.16 / $1,255.16 / $4,857.47	Facility		$1,255.16	$1,255.16	$4,857.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.74 / $1,328.99 / $1,911.58	Professional		$1,071.74	$1,328.99	$1,911.58
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 $2,140.17 / $2,810.65 / $2,810.65	Professional		$2,140.17	$2,810.65	$2,810.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $2,738.66	Facility		$1,711.28	$1,711.28	$2,738.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $2,398.07	Professional		$1,249.23	$1,249.23	$2,398.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,519.57 / $2,738.66 / $5,203.45	Professional		$2,519.57	$2,738.66	$5,203.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,255.16 / $1,255.16 / $4,857.47	Facility		$1,255.16	$1,255.16	$4,857.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,071.74 / $1,336.44 / $2,284.39	Professional		$1,071.74	$1,336.44	$2,284.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.90 / $3,735.20 / $5,395.70	Professional		$1,854.90	$3,735.20	$5,395.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $2,738.66	Facility		$1,711.28	$1,711.28	$2,738.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $3,489.38	Professional		$1,249.23	$1,249.23	$3,489.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,943.60 / $1,943.60 / $2,675.22	Facility		$1,943.60	$1,943.60	$2,675.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,943.60 / $2,675.22 / $2,728.72	Professional		$1,943.60	$2,675.22	$2,728.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.66 / $1,686.39 / $2,534.65	Professional		$1,323.66	$1,686.39	$2,534.65