Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.34 / $1,246.34 / $4,823.37	Facility		$1,246.34	$1,246.34	$4,823.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.20 / $1,319.66 / $1,856.69	Professional		$1,191.20	$1,319.66	$1,856.69
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 $2,125.14 / $2,790.91 / $2,790.91	Professional		$2,125.14	$2,790.91	$2,790.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,241.50	Facility		$2,125.02	$2,125.02	$3,241.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,838.37	Professional		$1,551.26	$1,551.26	$2,838.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,982.18 / $3,241.50 / $6,158.85	Professional		$2,982.18	$3,241.50	$6,158.85
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,246.34 / $1,246.34 / $4,823.37	Facility		$1,246.34	$1,246.34	$4,823.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,191.20 / $1,319.66 / $2,043.63	Professional		$1,191.20	$1,319.66	$2,043.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.60 / $4,421.00 / $6,386.30	Professional		$2,195.60	$4,421.00	$6,386.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,241.50	Facility		$2,125.02	$2,125.02	$3,241.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $3,808.13	Professional		$1,551.26	$1,551.26	$3,808.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,333.63 / $1,333.63 / $2,656.43	Facility		$1,333.63	$1,333.63	$2,656.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,333.63 / $2,656.43 / $3,085.31	Professional		$1,333.63	$2,656.43	$3,085.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.85 / $1,617.15 / $2,438.48	Professional		$1,307.85	$1,617.15	$2,438.48