Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.45 / $1,618.45 / $6,263.40	Facility		$1,618.45	$1,618.45	$6,263.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,356.51 / $1,713.66 / $2,040.24	Professional		$1,356.51	$1,713.66	$2,040.24
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 $2,759.62 / $3,624.16 / $3,624.16	Professional		$2,759.62	$3,624.16	$3,624.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $3,466.35	Facility		$2,476.09	$2,476.09	$3,466.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $3,035.26	Professional		$1,807.55	$1,807.55	$3,035.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,189.04 / $3,466.35 / $6,586.07	Professional		$3,189.04	$3,466.35	$6,586.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,618.45 / $1,618.45 / $6,263.40	Facility		$1,618.45	$1,618.45	$6,263.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,323.76 / $1,713.66 / $2,260.77	Professional		$1,323.76	$1,713.66	$2,260.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,347.90 / $4,727.60 / $6,829.30	Professional		$2,347.90	$4,727.60	$6,829.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $3,466.35	Facility		$2,476.09	$2,476.09	$3,466.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $4,437.38	Professional		$1,807.55	$1,807.55	$4,437.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,731.81 / $1,731.81 / $3,449.53	Facility		$1,731.81	$1,731.81	$3,449.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,731.81 / $3,449.53 / $3,518.52	Professional		$1,731.81	$3,449.53	$3,518.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.37 / $1,989.36 / $3,268.30	Professional		$1,675.37	$1,989.36	$3,268.30