Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.88 / $1,066.88 / $4,128.83	Facility		$1,066.88	$1,066.88	$4,128.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.92 / $1,129.64 / $1,455.74	Professional		$934.92	$1,129.64	$1,455.74
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 $1,819.14 / $2,389.03 / $2,389.03	Professional		$1,819.14	$2,389.03	$2,389.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,389.03	Facility		$1,366.32	$1,366.32	$2,389.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $2,091.92	Professional		$997.41	$997.41	$2,091.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,197.91 / $2,389.03 / $4,539.16	Professional		$2,197.91	$2,389.03	$4,539.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,066.88 / $1,066.88 / $4,128.83	Facility		$1,066.88	$1,066.88	$4,128.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $934.92 / $1,129.64 / $1,646.02	Professional		$934.92	$1,129.64	$1,646.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,962.10 / $3,406.40 / $4,706.80	Professional		$2,962.10	$3,406.40	$4,706.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,389.03	Facility		$1,366.32	$1,366.32	$2,389.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $2,837.63	Professional		$997.41	$997.41	$2,837.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,708.07 / $2,273.92 / $2,273.92	Facility		$1,708.07	$2,273.92	$2,273.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,708.07 / $2,273.92 / $2,329.75	Professional		$1,708.07	$2,273.92	$2,329.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.86 / $1,346.54 / $1,986.44	Professional		$1,090.86	$1,346.54	$1,986.44