Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.07 / $1,944.07 / $7,523.55	Facility		$1,944.07	$1,944.07	$7,523.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.78 / $2,058.42 / $2,443.10	Professional		$1,768.78	$2,058.42	$2,443.10
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 $3,314.84 / $4,353.31 / $4,353.31	Professional		$3,314.84	$4,353.31	$4,353.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $4,704.55	Facility		$3,148.57	$3,148.57	$4,704.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $4,119.47	Professional		$2,298.46	$2,298.46	$4,119.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,328.18 / $4,704.55 / $8,938.65	Professional		$4,328.18	$4,704.55	$8,938.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,944.07 / $1,944.07 / $7,523.55	Facility		$1,944.07	$1,944.07	$7,523.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,728.87 / $2,058.42 / $2,966.03	Professional		$1,728.87	$2,058.42	$2,966.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,833.10 / $6,708.10 / $9,268.79	Professional		$5,833.10	$6,708.10	$9,268.79
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $4,704.55	Facility		$3,148.57	$3,148.57	$4,704.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $5,111.63	Professional		$2,298.46	$2,298.46	$5,111.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,112.44 / $4,143.55 / $4,143.55	Facility		$3,112.44	$4,143.55	$4,143.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,112.44 / $4,143.55 / $4,477.87	Professional		$3,112.44	$4,143.55	$4,477.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,962.92 / $2,453.66 / $3,925.85	Professional		$1,962.92	$2,453.66	$3,925.85