Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,422.61	Facility		$1,659.59	$1,659.59	$6,422.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.32 / $1,757.21 / $2,264.50	Professional		$1,454.32	$1,757.21	$2,264.50
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 $2,829.77 / $3,716.28 / $3,716.28	Professional		$2,829.77	$3,716.28	$3,716.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $3,716.28	Facility		$2,463.07	$2,463.07	$3,716.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $3,254.10	Professional		$1,798.04	$1,798.04	$3,254.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,418.98 / $3,716.28 / $7,060.93	Professional		$3,418.98	$3,716.28	$7,060.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,422.61	Facility		$1,659.59	$1,659.59	$6,422.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,454.32 / $1,757.21 / $2,560.42	Professional		$1,454.32	$1,757.21	$2,560.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,607.70 / $5,298.90 / $7,321.70	Professional		$4,607.70	$5,298.90	$7,321.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $3,716.28	Facility		$2,463.07	$2,463.07	$3,716.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $4,414.13	Professional		$1,798.04	$1,798.04	$4,414.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,656.98 / $3,537.21 / $3,537.21	Facility		$2,656.98	$3,537.21	$3,537.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,656.98 / $3,537.21 / $3,624.08	Professional		$2,656.98	$3,537.21	$3,624.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.91 / $2,229.77 / $3,351.36	Professional		$1,696.91	$2,229.77	$3,351.36