Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.24 / $1,661.24 / $6,429.00	Facility		$1,661.24	$1,661.24	$6,429.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.95 / $1,758.96 / $2,345.28	Professional		$1,530.95	$1,758.96	$2,345.28
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 $2,832.58 / $3,719.97 / $3,719.97	Professional		$2,832.58	$3,719.97	$3,719.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $3,719.97	Facility		$2,381.07	$2,381.07	$3,719.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $3,257.33	Professional		$1,738.18	$1,738.18	$3,257.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,422.37 / $3,719.97 / $7,067.94	Professional		$3,422.37	$3,719.97	$7,067.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,661.24 / $1,661.24 / $6,429.00	Facility		$1,661.24	$1,661.24	$6,429.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,543.36 / $1,824.10 / $2,563.02	Professional		$1,543.36	$1,824.10	$2,563.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $278.70 / $5,073.50 / $7,329.00	Professional		$278.70	$5,073.50	$7,329.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $3,719.97	Facility		$2,381.07	$2,381.07	$3,719.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $4,418.63	Professional		$1,738.18	$1,738.18	$4,418.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,659.62 / $3,540.72 / $3,540.72	Facility		$2,659.62	$3,540.72	$3,540.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,659.62 / $3,540.72 / $3,627.72	Professional		$2,659.62	$3,540.72	$3,627.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,715.89 / $2,010.50 / $3,093.08	Professional		$1,715.89	$2,010.50	$3,093.08