Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.59 / $1,725.59 / $6,678.03	Facility		$1,725.59	$1,725.59	$6,678.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.21 / $1,827.10 / $2,183.29	Professional		$1,355.21	$1,827.10	$2,183.29
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 $2,942.30 / $3,864.06 / $3,864.06	Professional		$2,942.30	$3,864.06	$3,864.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $3,463.02	Facility		$2,782.58	$2,782.58	$3,463.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $4,986.75	Professional		$2,031.28	$2,031.28	$4,986.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,185.98 / $3,463.02 / $6,579.74	Professional		$3,185.98	$3,463.02	$6,579.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,725.59 / $1,725.59 / $6,678.03	Facility		$1,725.59	$1,725.59	$6,678.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,355.21 / $1,827.10 / $2,467.67	Professional		$1,355.21	$1,827.10	$2,467.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.60 / $4,723.10 / $6,822.80	Professional		$2,345.60	$4,723.10	$6,822.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $3,463.02	Facility		$2,782.58	$2,782.58	$3,463.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $4,986.75	Professional		$2,031.28	$2,031.28	$4,986.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,846.45 / $1,846.45 / $3,677.88	Facility		$1,846.45	$1,846.45	$3,677.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,846.45 / $3,677.88 / $3,751.44	Professional		$1,846.45	$3,677.88	$3,751.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,742.32 / $2,177.90 / $3,463.02	Professional		$1,742.32	$2,177.90	$3,463.02