Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.61 / $1,196.61 / $4,630.92	Facility		$1,196.61	$1,196.61	$4,630.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.90 / $1,267.01 / $1,748.91	Professional		$1,092.90	$1,267.01	$1,748.91
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 $2,040.35 / $2,679.56 / $2,679.56	Professional		$2,040.35	$2,679.56	$2,679.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,792.73	Facility		$2,283.76	$2,283.76	$2,792.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,445.42	Professional		$1,667.14	$1,667.14	$2,445.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,569.31 / $2,792.73 / $5,306.19	Professional		$2,569.31	$2,792.73	$5,306.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,196.61 / $1,196.61 / $4,630.92	Facility		$1,196.61	$1,196.61	$4,630.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,092.90 / $1,267.01 / $2,104.03	Professional		$1,092.90	$1,267.01	$2,104.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,462.70 / $3,982.10 / $5,502.20	Professional		$3,462.70	$3,982.10	$5,502.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,792.73	Facility		$2,283.76	$2,283.76	$2,792.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $3,804.00	Professional		$1,667.14	$1,667.14	$3,804.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,915.77 / $2,550.44 / $2,550.44	Facility		$1,915.77	$2,550.44	$2,550.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,915.77 / $2,550.44 / $3,123.05	Professional		$1,915.77	$2,550.44	$3,123.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.33 / $1,607.74 / $2,341.17	Professional		$1,258.33	$1,607.74	$2,341.17