Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.19 / $1,018.19 / $3,940.40	Facility		$1,018.19	$1,018.19	$3,940.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.50 / $1,078.08 / $1,599.49	Professional		$977.50	$1,078.08	$1,599.49
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 $1,736.11 / $2,280.00 / $2,280.00	Professional		$1,736.11	$2,280.00	$2,280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $2,659.95	Facility		$1,424.68	$1,424.68	$2,659.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,478.88	Professional		$1,040.02	$1,040.02	$3,478.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.15 / $2,659.95 / $5,053.91	Professional		$2,447.15	$2,659.95	$5,053.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,018.19 / $1,018.19 / $3,940.40	Facility		$1,018.19	$1,018.19	$3,940.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $977.50 / $1,078.08 / $1,743.58	Professional		$977.50	$1,078.08	$1,743.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.60 / $3,627.80 / $5,240.60	Professional		$1,801.60	$3,627.80	$5,240.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $2,659.95	Facility		$1,424.68	$1,424.68	$2,659.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,478.88	Professional		$1,040.02	$1,040.02	$3,478.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,089.50 / $1,089.50 / $2,170.14	Facility		$1,089.50	$1,089.50	$2,170.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,089.50 / $2,170.14 / $2,531.78	Professional		$1,089.50	$2,170.14	$2,531.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.69 / $1,270.17 / $1,992.09	Professional		$1,070.69	$1,270.17	$1,992.09