Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.55 / $1,203.55 / $4,657.74	Facility		$1,203.55	$1,203.55	$4,657.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.68 / $1,274.34 / $1,642.21	Professional		$1,054.68	$1,274.34	$1,642.21
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 $2,052.17 / $2,695.08 / $2,695.08	Professional		$2,052.17	$2,695.08	$2,695.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $2,695.08	Facility		$1,786.24	$1,786.24	$2,695.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $2,359.90	Professional		$1,303.96	$1,303.96	$2,359.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,479.46 / $2,695.08 / $5,120.64	Professional		$2,479.46	$2,695.08	$5,120.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,203.55 / $1,203.55 / $4,657.74	Facility		$1,203.55	$1,203.55	$4,657.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,054.68 / $1,274.34 / $1,856.89	Professional		$1,054.68	$1,274.34	$1,856.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,341.60 / $3,842.80 / $5,309.80	Professional		$3,341.60	$3,842.80	$5,309.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $2,695.08	Facility		$1,786.24	$1,786.24	$2,695.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $3,201.00	Professional		$1,303.96	$1,303.96	$3,201.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,926.87 / $2,565.21 / $2,565.21	Facility		$1,926.87	$2,565.21	$2,565.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,926.87 / $2,565.21 / $2,628.22	Professional		$1,926.87	$2,565.21	$2,628.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.22 / $1,461.07 / $2,430.44	Professional		$1,215.22	$1,461.07	$2,430.44