Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.32 / $1,045.32 / $4,045.39	Facility		$1,045.32	$1,045.32	$4,045.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.65 / $1,106.81 / $1,425.19	Professional		$884.65	$1,106.81	$1,425.19
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 $1,782.38 / $2,340.76 / $2,340.76	Professional		$1,782.38	$2,340.76	$2,340.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $2,260.57	Facility		$1,747.16	$1,747.16	$2,260.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $1,979.43	Professional		$1,275.43	$1,275.43	$1,979.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.71 / $2,260.57 / $4,295.08	Professional		$2,079.71	$2,260.57	$4,295.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,045.32 / $1,045.32 / $4,045.39	Facility		$1,045.32	$1,045.32	$4,045.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $884.65 / $1,132.80 / $1,577.04	Professional		$884.65	$1,132.80	$1,577.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.10 / $3,083.10 / $4,453.70	Professional		$1,531.10	$3,083.10	$4,453.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $2,260.57	Facility		$1,747.16	$1,747.16	$2,260.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $3,131.25	Professional		$1,275.43	$1,275.43	$3,131.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,118.54 / $1,118.54 / $2,227.96	Facility		$1,118.54	$1,118.54	$2,227.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,118.54 / $2,227.96 / $2,272.53	Professional		$1,118.54	$2,227.96	$2,272.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.58 / $1,329.43 / $2,045.17	Professional		$1,092.58	$1,329.43	$2,045.17