Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.87 / $1,653.87 / $6,400.48	Facility		$1,653.87	$1,653.87	$6,400.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.73 / $1,751.16 / $2,419.33	Professional		$1,501.73	$1,751.16	$2,419.33
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 $2,820.02 / $3,703.47 / $3,703.47	Professional		$2,820.02	$3,703.47	$3,703.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $3,837.43	Facility		$2,970.85	$2,970.85	$3,837.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $3,360.18	Professional		$2,168.71	$2,168.71	$3,360.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,530.44 / $3,837.43 / $7,291.12	Professional		$3,530.44	$3,837.43	$7,291.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,653.87 / $1,653.87 / $6,400.48	Facility		$1,653.87	$1,653.87	$6,400.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,501.73 / $1,751.16 / $2,897.27	Professional		$1,501.73	$1,751.16	$2,897.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,599.19 / $5,233.70 / $7,560.40	Professional		$2,599.19	$5,233.70	$7,560.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $3,837.43	Facility		$2,970.85	$2,970.85	$3,837.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $4,887.38	Professional		$2,168.71	$2,168.71	$4,887.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,769.72 / $1,769.72 / $3,525.02	Facility		$1,769.72	$1,769.72	$3,525.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,769.72 / $3,525.02 / $3,652.52	Professional		$1,769.72	$3,525.02	$3,652.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,732.19 / $2,001.59 / $3,339.83	Professional		$1,732.19	$2,001.59	$3,339.83