Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.24 / $1,462.24 / $5,658.87	Facility		$1,462.24	$1,462.24	$5,658.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.38 / $1,548.26 / $2,064.34	Professional		$1,281.38	$1,548.26	$2,064.34
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 $2,493.26 / $3,274.36 / $3,274.36	Professional		$2,493.26	$3,274.36	$3,274.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $3,274.36	Facility		$2,694.60	$2,694.60	$3,274.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,578.00	Professional		$1,967.06	$1,967.06	$4,578.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,012.41 / $3,274.36 / $6,221.28	Professional		$3,012.41	$3,274.36	$6,221.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,462.24 / $1,462.24 / $5,658.87	Facility		$1,462.24	$1,462.24	$5,658.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,281.38 / $1,548.26 / $2,500.13	Professional		$1,281.38	$1,548.26	$2,500.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,217.80 / $4,465.80 / $6,451.10	Professional		$2,217.80	$4,465.80	$6,451.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $3,274.36	Facility		$2,694.60	$2,694.60	$3,274.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,578.00	Professional		$1,967.06	$1,967.06	$4,578.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,564.66 / $1,564.66 / $3,116.58	Facility		$1,564.66	$1,564.66	$3,116.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,564.66 / $3,116.58 / $3,178.91	Professional		$1,564.66	$3,116.58	$3,178.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,582.57 / $1,964.62 / $2,860.88	Professional		$1,582.57	$1,964.62	$2,860.88