Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.93 / $1,996.93 / $7,728.12	Facility		$1,996.93	$1,996.93	$7,728.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.52 / $2,123.96 / $2,896.05	Professional		$1,994.52	$2,123.96	$2,896.05
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 $3,404.95 / $4,471.64 / $4,471.64	Professional		$3,404.95	$4,471.64	$4,471.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $5,427.48	Facility		$3,813.78	$3,813.78	$5,427.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $4,752.49	Professional		$2,784.06	$2,784.06	$4,752.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,993.28 / $5,427.48 / $10,312.20	Professional		$4,993.28	$5,427.48	$10,312.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,996.93 / $1,996.93 / $7,728.12	Facility		$1,996.93	$1,996.93	$7,728.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,957.77 / $2,123.96 / $3,402.72	Professional		$1,957.77	$2,123.96	$3,402.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,676.20 / $7,402.30 / $10,693.10	Professional		$3,676.20	$7,402.30	$10,693.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $5,427.48	Facility		$3,813.78	$3,813.78	$5,427.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $6,212.25	Professional		$2,784.06	$2,784.06	$6,212.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,136.79 / $2,136.79 / $4,256.18	Facility		$2,136.79	$2,136.79	$4,256.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,136.79 / $4,256.18 / $5,165.96	Professional		$2,136.79	$4,256.18	$5,165.96
United Facility/Professional Professional Modifier Low / Median / High Price $2,091.48 / $2,682.99 / $4,639.99	Professional		$2,091.48	$2,682.99	$4,639.99