Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.43 / $1,578.43 / $6,108.52	Facility		$1,578.43	$1,578.43	$6,108.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.26 / $1,671.28 / $1,998.21	Professional		$1,262.26	$1,671.28	$1,998.21
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 $2,691.38 / $3,534.53 / $3,534.53	Professional		$2,691.38	$3,534.53	$3,534.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $3,225.50	Facility		$2,425.11	$2,425.11	$3,225.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,824.36	Professional		$1,770.33	$1,770.33	$2,824.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,967.46 / $3,225.50 / $6,128.45	Professional		$2,967.46	$3,225.50	$6,128.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,578.43 / $1,578.43 / $6,108.52	Facility		$1,578.43	$1,578.43	$6,108.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,262.26 / $1,671.28 / $2,177.51	Professional		$1,262.26	$1,671.28	$2,177.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,184.69 / $4,399.20 / $6,354.80	Professional		$2,184.69	$4,399.20	$6,354.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $3,225.50	Facility		$2,425.11	$2,425.11	$3,225.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $4,346.25	Professional		$1,770.33	$1,770.33	$4,346.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,688.97 / $1,688.97 / $3,364.22	Facility		$1,688.97	$1,688.97	$3,364.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,688.97 / $3,364.22 / $3,431.50	Professional		$1,688.97	$3,364.22	$3,431.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,593.73 / $1,916.16 / $3,088.20	Professional		$1,593.73	$1,916.16	$3,088.20