Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.57 / $1,237.57 / $4,789.39	Facility		$1,237.57	$1,237.57	$4,789.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.50 / $1,310.35 / $1,688.66	Professional		$1,084.50	$1,310.35	$1,688.66
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 $2,110.17 / $2,771.24 / $2,771.24	Professional		$2,110.17	$2,771.24	$2,771.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $2,771.24	Facility		$1,584.92	$1,584.92	$2,771.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $2,426.60	Professional		$1,156.99	$1,156.99	$2,426.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,549.54 / $2,771.24 / $5,265.36	Professional		$2,549.54	$2,771.24	$5,265.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,237.57 / $1,237.57 / $4,789.39	Facility		$1,237.57	$1,237.57	$4,789.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,084.50 / $1,310.35 / $1,909.37	Professional		$1,084.50	$1,310.35	$1,909.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,436.00 / $3,951.40 / $5,459.90	Professional		$3,436.00	$3,951.40	$5,459.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $2,771.24	Facility		$1,584.92	$1,584.92	$2,771.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $3,291.75	Professional		$1,156.99	$1,156.99	$3,291.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,981.34 / $2,637.71 / $2,637.71	Facility		$1,981.34	$2,637.71	$2,637.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,981.34 / $2,637.71 / $2,702.54	Professional		$1,981.34	$2,637.71	$2,702.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.41 / $1,561.97 / $2,304.23	Professional		$1,265.41	$1,561.97	$2,304.23