Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.19 / $2,151.19 / $8,325.10	Facility		$2,151.19	$2,151.19	$8,325.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.10 / $2,277.73 / $2,935.24	Professional		$1,885.10	$2,277.73	$2,935.24
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 $3,667.98 / $4,817.09 / $4,817.09	Professional		$3,667.98	$4,817.09	$4,817.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $4,817.09	Facility		$2,801.20	$2,801.20	$4,817.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $5,721.75	Professional		$2,044.88	$2,044.88	$5,721.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,431.72 / $4,817.09 / $9,152.46	Professional		$4,431.72	$4,817.09	$9,152.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,151.19 / $2,151.19 / $8,325.10	Facility		$2,151.19	$2,151.19	$8,325.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,885.10 / $2,277.73 / $3,318.88	Professional		$1,885.10	$2,277.73	$3,318.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,972.60 / $6,868.50 / $9,490.50	Professional		$5,972.60	$6,868.50	$9,490.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $4,817.09	Facility		$2,801.20	$2,801.20	$4,817.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $5,721.75	Professional		$2,044.88	$2,044.88	$5,721.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,444.01 / $4,584.97 / $4,584.97	Facility		$3,444.01	$4,584.97	$4,584.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,444.01 / $4,584.97 / $4,697.60	Professional		$3,444.01	$4,584.97	$4,697.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,199.56 / $2,616.36 / $4,344.08	Professional		$2,199.56	$2,616.36	$4,344.08