Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.78 / $1,631.78 / $6,314.99	Facility		$1,631.78	$1,631.78	$6,314.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.93 / $1,727.76 / $2,226.55	Professional		$1,429.93	$1,727.76	$2,226.55
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 $2,782.34 / $3,653.99 / $3,653.99	Professional		$2,782.34	$3,653.99	$3,653.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $3,653.99	Facility		$2,264.80	$2,264.80	$3,653.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $3,199.56	Professional		$1,653.30	$1,653.30	$3,199.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,361.67 / $3,653.99 / $6,942.58	Professional		$3,361.67	$3,653.99	$6,942.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,631.78 / $1,631.78 / $6,314.99	Facility		$1,631.78	$1,631.78	$6,314.99
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,429.93 / $1,727.76 / $2,517.53	Professional		$1,429.93	$1,727.76	$2,517.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,530.50 / $5,210.00 / $7,199.00	Professional		$4,530.50	$5,210.00	$7,199.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $3,653.99	Facility		$2,264.80	$2,264.80	$3,653.99
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $4,340.25	Professional		$1,653.30	$1,653.30	$4,340.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,612.44 / $3,477.92 / $3,477.92	Facility		$2,612.44	$3,477.92	$3,477.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,612.44 / $3,477.92 / $3,563.35	Professional		$2,612.44	$3,477.92	$3,563.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.47 / $2,059.48 / $3,295.18	Professional		$1,668.47	$2,059.48	$3,295.18