Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.52 / $1,652.52 / $6,395.25	Facility		$1,652.52	$1,652.52	$6,395.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.33 / $1,749.73 / $2,355.41	Professional		$1,457.33	$1,749.73	$2,355.41
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 $2,817.71 / $3,700.45 / $3,700.45	Professional		$2,817.71	$3,700.45	$3,700.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $3,723.99	Facility		$2,717.61	$2,717.61	$3,723.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $3,260.86	Professional		$1,983.86	$1,983.86	$3,260.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,426.07 / $3,723.99 / $7,075.58	Professional		$3,426.07	$3,723.99	$7,075.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,652.52 / $1,652.52 / $6,395.25	Facility		$1,652.52	$1,652.52	$6,395.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,457.33 / $1,749.73 / $2,769.32	Professional		$1,457.33	$1,749.73	$2,769.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,522.30 / $5,079.00 / $7,336.90	Professional		$2,522.30	$5,079.00	$7,336.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $3,723.99	Facility		$2,717.61	$2,717.61	$3,723.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.86 / $1,983.86 / $4,977.38	Professional		$1,983.86	$1,983.86	$4,977.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,768.26 / $1,768.26 / $3,522.14	Facility		$1,768.26	$1,768.26	$3,522.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,768.26 / $3,522.14 / $3,592.58	Professional		$1,768.26	$3,522.14	$3,592.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.78 / $2,168.23 / $3,337.09	Professional		$1,730.78	$2,168.23	$3,337.09