Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.86 / $1,315.86 / $5,092.38	Facility		$1,315.86	$1,315.86	$5,092.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,393.26 / $1,795.46	Professional		$1,153.09	$1,393.26	$1,795.46
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 $2,243.66 / $2,946.56 / $2,946.56	Professional		$2,243.66	$2,946.56	$2,946.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $2,946.56	Facility		$1,952.91	$1,952.91	$2,946.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,425.62 / $2,580.11	Professional		$1,425.62	$1,425.62	$2,580.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,710.84 / $2,946.56 / $5,598.46	Professional		$2,710.84	$2,946.56	$5,598.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,315.86 / $1,315.86 / $5,092.38	Facility		$1,315.86	$1,315.86	$5,092.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,393.26 / $2,030.16	Professional		$1,153.09	$1,393.26	$2,030.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,653.40 / $4,201.39 / $5,805.20	Professional		$3,653.40	$4,201.39	$5,805.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $2,946.56	Facility		$1,952.91	$1,952.91	$2,946.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,425.62 / $3,499.88	Professional		$1,425.62	$1,425.62	$3,499.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,804.58 / $2,804.58 / $2,804.58	Facility		$2,804.58	$2,804.58	$2,804.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,804.58 / $2,804.58 / $2,873.46	Professional		$2,804.58	$2,804.58	$2,873.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,345.45 / $1,767.94 / $2,946.56	Professional		$1,345.45	$1,767.94	$2,946.56