Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.95 / $1,194.95 / $4,624.46	Facility		$1,194.95	$1,194.95	$4,624.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.06 / $1,265.24 / $1,590.19	Professional		$987.06	$1,265.24	$1,590.19
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 $2,037.50 / $2,675.80 / $2,675.80	Professional		$2,037.50	$2,675.80	$2,675.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $2,522.29	Facility		$1,960.76	$1,960.76	$2,522.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $2,208.60	Professional		$1,431.35	$1,431.35	$2,208.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,320.51 / $2,522.29 / $4,792.35	Professional		$2,320.51	$2,522.29	$4,792.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,194.95 / $1,194.95 / $4,624.46	Facility		$1,194.95	$1,194.95	$4,624.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $987.06 / $1,265.24 / $1,731.00	Professional		$987.06	$1,265.24	$1,731.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,708.40 / $3,440.00 / $4,969.39	Professional		$1,708.40	$3,440.00	$4,969.39
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $2,522.29	Facility		$1,960.76	$1,960.76	$2,522.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.35 / $1,431.35 / $3,513.75	Professional		$1,431.35	$1,431.35	$3,513.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,278.63 / $1,278.63 / $2,546.87	Facility		$1,278.63	$1,278.63	$2,546.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,278.63 / $2,546.87 / $2,597.81	Professional		$1,278.63	$2,546.87	$2,597.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.59 / $1,446.17 / $2,522.29	Professional		$1,225.59	$1,446.17	$2,522.29