Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.33 / $1,023.33 / $3,960.29	Facility		$1,023.33	$1,023.33	$3,960.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.26 / $1,123.65 / $1,510.17	Professional		$1,003.26	$1,123.65	$1,510.17
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 $1,744.87 / $2,291.51 / $2,291.51	Professional		$1,744.87	$2,291.51	$2,291.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $3,051.19	Facility		$1,665.63	$1,665.63	$3,051.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $2,671.73	Professional		$1,215.91	$1,215.91	$2,671.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,807.09 / $3,051.19 / $5,797.26	Professional		$2,807.09	$3,051.19	$5,797.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.33 / $1,023.33 / $3,960.29	Facility		$1,023.33	$1,023.33	$3,960.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,003.26 / $1,123.65 / $1,923.65	Professional		$1,003.26	$1,123.65	$1,923.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.69 / $4,161.39 / $6,011.40	Professional		$2,066.69	$4,161.39	$6,011.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $3,051.19	Facility		$1,665.63	$1,665.63	$3,051.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $2,985.00	Professional		$1,215.91	$1,215.91	$2,985.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,094.99 / $1,094.99 / $2,181.09	Facility		$1,094.99	$1,094.99	$2,181.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,094.99 / $2,181.09 / $2,904.17	Professional		$1,094.99	$2,181.09	$2,904.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.08 / $1,284.55 / $2,002.13	Professional		$1,076.08	$1,284.55	$2,002.13