Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.63 / $1,711.63 / $6,624.01	Facility		$1,711.63	$1,711.63	$6,624.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.92 / $1,812.32 / $2,335.48	Professional		$1,499.92	$1,812.32	$2,335.48
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 $2,918.50 / $3,832.80 / $3,832.80	Professional		$2,918.50	$3,832.80	$3,832.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $3,832.80	Facility		$2,540.30	$2,540.30	$3,832.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $3,356.14	Professional		$1,854.42	$1,854.42	$3,356.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,526.18 / $3,832.80 / $7,282.32	Professional		$3,526.18	$3,832.80	$7,282.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,711.63 / $1,711.63 / $6,624.01	Facility		$1,711.63	$1,711.63	$6,624.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,499.92 / $1,812.32 / $2,640.73	Professional		$1,499.92	$1,812.32	$2,640.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,752.20 / $5,465.00 / $7,551.30	Professional		$4,752.20	$5,465.00	$7,551.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $3,832.80	Facility		$2,540.30	$2,540.30	$3,832.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $4,552.50	Professional		$1,854.42	$1,854.42	$4,552.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,740.30 / $3,648.12 / $3,648.12	Facility		$2,740.30	$3,648.12	$3,648.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,740.30 / $3,648.12 / $3,737.73	Professional		$2,740.30	$3,648.12	$3,737.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,750.12 / $2,160.29 / $3,456.46	Professional		$1,750.12	$2,160.29	$3,456.46