Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.46 / $2,099.46 / $8,124.91	Facility		$2,099.46	$2,099.46	$8,124.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,054.11 / $2,303.53 / $3,129.49	Professional		$2,054.11	$2,303.53	$3,129.49
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 $3,579.78 / $4,701.26 / $4,701.26	Professional		$3,579.78	$4,701.26	$4,701.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,094.62	Facility		$3,798.08	$3,798.08	$6,094.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $5,488.78	Professional		$2,772.60	$2,772.60	$5,488.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,766.88 / $6,268.35 / $11,909.87	Professional		$5,766.88	$6,268.35	$11,909.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,099.46 / $2,099.46 / $8,124.91	Facility		$2,099.46	$2,099.46	$8,124.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,058.30 / $2,305.29 / $3,825.37	Professional		$2,058.30	$2,305.29	$3,825.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,245.80 / $8,549.20 / $12,349.80	Professional		$4,245.80	$8,549.20	$12,349.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,094.62	Facility		$3,798.08	$3,798.08	$6,094.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $6,806.63	Professional		$2,772.60	$2,772.60	$6,806.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,246.50 / $2,246.50 / $4,474.72	Facility		$2,246.50	$2,246.50	$4,474.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,246.50 / $4,474.72 / $5,966.31	Professional		$2,246.50	$4,474.72	$5,966.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,198.88 / $2,891.36 / $4,107.59	Professional		$2,198.88	$2,891.36	$4,107.59