Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.09 / $1,275.09 / $4,934.64	Facility		$1,275.09	$1,275.09	$4,934.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.09 / $1,388.84 / $1,936.73	Professional		$1,275.09	$1,388.84	$1,936.73
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 $2,174.17 / $2,855.29 / $2,855.29	Professional		$2,174.17	$2,855.29	$2,855.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,548.96	Facility		$1,784.15	$1,784.15	$3,548.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $3,107.59	Professional		$1,302.43	$1,302.43	$3,107.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,265.04 / $3,548.96 / $6,743.02	Professional		$3,265.04	$3,548.96	$6,743.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,275.09 / $1,275.09 / $4,934.64	Facility		$1,275.09	$1,275.09	$4,934.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,250.09 / $1,388.84 / $2,237.46	Professional		$1,250.09	$1,388.84	$2,237.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,403.90 / $4,840.30 / $6,992.10	Professional		$2,403.90	$4,840.30	$6,992.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,548.96	Facility		$1,784.15	$1,784.15	$3,548.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $4,212.38	Professional		$1,302.43	$1,302.43	$4,212.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,364.41 / $1,364.41 / $2,717.71	Facility		$1,364.41	$1,364.41	$2,717.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,364.41 / $2,717.71 / $3,377.95	Professional		$1,364.41	$2,717.71	$3,377.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.47 / $1,713.17 / $2,574.92	Professional		$1,335.47	$1,713.17	$2,574.92