Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.54 / $1,387.54 / $5,369.78	Facility		$1,387.54	$1,387.54	$5,369.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.54 / $1,503.05 / $2,043.29	Professional		$1,387.54	$1,503.05	$2,043.29
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 $2,365.90 / $3,107.08 / $3,107.08	Professional		$2,365.90	$3,107.08	$3,107.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $3,840.81	Facility		$2,479.82	$2,479.82	$3,840.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $3,363.15	Professional		$1,810.27	$1,810.27	$3,363.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,533.55 / $3,840.81 / $7,297.54	Professional		$3,533.55	$3,840.81	$7,297.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,387.54 / $1,387.54 / $5,369.78	Facility		$1,387.54	$1,387.54	$5,369.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,360.34 / $1,503.05 / $2,405.61	Professional		$1,360.34	$1,503.05	$2,405.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,601.50 / $5,238.30 / $7,567.10	Professional		$2,601.50	$5,238.30	$7,567.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $3,840.81	Facility		$2,479.82	$2,479.82	$3,840.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $4,444.13	Professional		$1,810.27	$1,810.27	$4,444.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,484.73 / $1,484.73 / $2,957.37	Facility		$1,484.73	$1,484.73	$2,957.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,484.73 / $2,957.37 / $3,655.74	Professional		$1,484.73	$2,957.37	$3,655.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.10 / $1,864.25 / $2,875.64	Professional		$1,459.10	$1,864.25	$2,875.64