Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.15 / $1,341.15 / $5,190.25	Facility		$1,341.15	$1,341.15	$5,190.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.96 / $1,420.04 / $1,735.47	Professional		$1,235.96	$1,420.04	$1,735.47
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 $2,286.78 / $3,003.19 / $3,003.19	Professional		$2,286.78	$3,003.19	$3,003.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,275.24	Facility		$2,373.71	$2,373.71	$3,275.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $2,867.92	Professional		$2,017.65	$2,017.65	$2,867.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,013.22 / $3,275.24 / $6,222.96	Professional		$3,013.22	$3,275.24	$6,222.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,341.15 / $1,341.15 / $5,190.25	Facility		$1,341.15	$1,341.15	$5,190.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,203.60 / $1,420.04 / $2,064.90	Professional		$1,203.60	$1,420.04	$2,064.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,060.90 / $4,670.00 / $6,452.80	Professional		$4,060.90	$4,670.00	$6,452.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,275.24	Facility		$2,373.71	$2,373.71	$3,275.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $3,469.50	Professional		$2,017.65	$2,017.65	$3,469.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,147.17 / $2,858.48 / $2,858.48	Facility		$2,147.17	$2,858.48	$2,858.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,147.17 / $2,858.48 / $3,117.43	Professional		$2,147.17	$2,858.48	$3,117.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,354.16 / $1,633.98 / $2,497.10	Professional		$1,354.16	$1,633.98	$2,497.10