Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.32 / $1,987.32 / $7,690.93	Facility		$1,987.32	$1,987.32	$7,690.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.32 / $2,182.15 / $2,966.77	Professional		$1,987.32	$2,182.15	$2,966.77
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 $3,388.58 / $4,450.14 / $4,450.14	Professional		$3,388.58	$4,450.14	$4,450.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,755.24	Facility		$2,780.72	$2,780.72	$5,755.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $5,117.01	Professional		$2,029.93	$2,029.93	$5,117.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,376.27 / $5,843.77 / $11,103.16	Professional		$5,376.27	$5,843.77	$11,103.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,987.32 / $1,987.32 / $7,690.93	Facility		$1,987.32	$1,987.32	$7,690.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,948.35 / $2,182.15 / $3,616.92	Professional		$1,948.35	$2,182.15	$3,616.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,958.20 / $7,970.10 / $11,513.30	Professional		$3,958.20	$7,970.10	$11,513.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,755.24	Facility		$2,780.72	$2,780.72	$5,755.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $5,316.38	Professional		$2,029.93	$2,029.93	$5,316.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,126.51 / $2,126.51 / $4,235.72	Facility		$2,126.51	$2,126.51	$4,235.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,126.51 / $4,235.72 / $5,562.19	Professional		$2,126.51	$4,235.72	$5,562.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,081.42 / $2,670.09 / $4,013.17	Professional		$2,081.42	$2,670.09	$4,013.17