Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.05 / $1,988.05 / $7,693.75	Facility		$1,988.05	$1,988.05	$7,693.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.00 / $2,104.98 / $2,492.73	Professional		$1,747.00	$2,104.98	$2,492.73
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 $3,389.82 / $4,451.78 / $4,451.78	Professional		$3,389.82	$4,451.78	$4,451.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $4,464.20	Facility		$2,741.63	$2,741.63	$4,464.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $3,909.01	Professional		$2,001.39	$2,001.39	$3,909.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,107.06 / $4,464.20 / $8,481.98	Professional		$4,107.06	$4,464.20	$8,481.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,988.05 / $1,988.05 / $7,693.75	Facility		$1,988.05	$1,988.05	$7,693.75
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,747.00 / $2,104.98 / $2,847.79	Professional		$1,747.00	$2,104.98	$2,847.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,535.10 / $6,365.30 / $8,795.29	Professional		$5,535.10	$6,365.30	$8,795.29
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $4,464.20	Facility		$2,741.63	$2,741.63	$4,464.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $5,230.13	Professional		$2,001.39	$2,001.39	$5,230.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,182.83 / $4,237.27 / $4,237.27	Facility		$3,182.83	$4,237.27	$4,237.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,182.83 / $4,237.27 / $4,293.93	Professional		$3,182.83	$4,237.27	$4,293.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,090.57 / $2,480.05 / $3,889.61	Professional		$2,090.57	$2,480.05	$3,889.61