Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $6,355.35	Facility		$1,642.21	$1,642.21	$6,355.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.41 / $1,738.81 / $2,443.28	Professional		$1,513.41	$1,738.81	$2,443.28
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 $2,800.13 / $3,677.35 / $3,677.35	Professional		$2,800.13	$3,677.35	$3,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,875.41	Facility		$3,141.52	$3,141.52	$3,875.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,393.44	Professional		$2,293.31	$2,293.31	$3,393.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,565.38 / $3,875.41 / $7,363.28	Professional		$3,565.38	$3,875.41	$7,363.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $6,355.35	Facility		$1,642.21	$1,642.21	$6,355.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,513.41 / $1,738.81 / $2,873.77	Professional		$1,513.41	$1,738.81	$2,873.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,624.90 / $5,285.50 / $7,635.20	Professional		$2,624.90	$5,285.50	$7,635.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $3,875.41	Facility		$3,141.52	$3,141.52	$3,875.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $5,629.88	Professional		$2,293.31	$2,293.31	$5,629.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,757.23 / $1,757.23 / $3,500.16	Facility		$1,757.23	$1,757.23	$3,500.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,757.23 / $3,500.16 / $3,688.67	Professional		$1,757.23	$3,500.16	$3,688.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,719.97 / $1,987.47 / $3,212.98	Professional		$1,719.97	$1,987.47	$3,212.98