Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,479.94 / $2,479.94 / $9,597.37	Facility		$2,479.94	$2,479.94	$9,597.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.21 / $2,625.81 / $3,249.23	Professional		$2,189.21	$2,625.81	$3,249.23
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 $4,228.54 / $5,553.25 / $5,553.25	Professional		$4,228.54	$5,553.25	$5,553.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $5,594.18	Facility		$3,943.38	$3,943.38	$5,594.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $4,898.46	Professional		$2,878.67	$2,878.67	$4,898.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,146.64 / $5,594.18 / $10,628.94	Professional		$5,146.64	$5,594.18	$10,628.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,479.94 / $2,479.94 / $9,597.37	Facility		$2,479.94	$2,479.94	$9,597.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,115.98 / $2,625.81 / $3,756.83	Professional		$2,115.98	$2,625.81	$3,756.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,789.10 / $7,629.70 / $11,021.50	Professional		$3,789.10	$7,629.70	$11,021.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $5,594.18	Facility		$3,943.38	$3,943.38	$5,594.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $7,066.88	Professional		$2,878.67	$2,878.67	$7,066.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,653.64 / $2,653.64 / $5,285.67	Facility		$2,653.64	$2,653.64	$5,285.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,653.64 / $5,285.67 / $5,391.38	Professional		$2,653.64	$5,285.67	$5,391.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,597.37 / $3,129.98 / $5,007.96	Professional		$2,597.37	$3,129.98	$5,007.96