Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.34 / $1,439.34 / $5,570.25	Facility		$1,439.34	$1,439.34	$5,570.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.45 / $1,524.00 / $2,070.78	Professional		$1,326.45	$1,524.00	$2,070.78
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 $2,454.21 / $3,223.06 / $3,223.06	Professional		$2,454.21	$3,223.06	$3,223.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $3,396.64	Facility		$2,561.34	$2,561.34	$3,396.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,974.21	Professional		$1,869.78	$1,869.78	$2,974.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,124.91 / $3,396.64 / $6,453.62	Professional		$3,124.91	$3,396.64	$6,453.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,439.34 / $1,439.34 / $5,570.25	Facility		$1,439.34	$1,439.34	$5,570.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,326.45 / $1,524.00 / $2,553.48	Professional		$1,326.45	$1,524.00	$2,553.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,300.60 / $4,632.50 / $6,692.00	Professional		$2,300.60	$4,632.50	$6,692.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $3,396.64	Facility		$2,561.34	$2,561.34	$3,396.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $4,503.75	Professional		$1,869.78	$1,869.78	$4,503.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,540.15 / $1,540.15 / $3,067.76	Facility		$1,540.15	$1,540.15	$3,067.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,540.15 / $3,067.76 / $3,232.97	Professional		$1,540.15	$3,067.76	$3,232.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.49 / $1,912.65 / $2,906.58	Professional		$1,507.49	$1,912.65	$2,906.58