Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.54 / $1,616.54 / $6,256.01	Facility		$1,616.54	$1,616.54	$6,256.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,489.75 / $1,711.63 / $2,091.79	Professional		$1,489.75	$1,711.63	$2,091.79
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 $2,756.35 / $3,619.86 / $3,619.86	Professional		$2,756.35	$3,619.86	$3,619.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $3,947.74	Facility		$2,861.13	$2,861.13	$3,947.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,431.96 / $3,456.77	Professional		$2,431.96	$2,431.96	$3,456.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,631.92 / $3,947.74 / $7,500.71	Professional		$3,631.92	$3,947.74	$7,500.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,616.54 / $1,616.54 / $6,256.01	Facility		$1,616.54	$1,616.54	$6,256.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,450.74 / $1,711.63 / $2,488.87	Professional		$1,450.74	$1,711.63	$2,488.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,894.70 / $5,628.90 / $7,777.70	Professional		$4,894.70	$5,628.90	$7,777.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,861.13 / $2,861.13 / $3,947.74	Facility		$2,861.13	$2,861.13	$3,947.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,431.96 / $4,181.63	Professional		$2,431.96	$2,431.96	$4,181.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,588.04 / $3,445.44 / $3,445.44	Facility		$2,588.04	$3,445.44	$3,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,588.04 / $3,445.44 / $3,757.51	Professional		$2,588.04	$3,445.44	$3,757.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,632.20 / $2,040.26 / $3,162.75	Professional		$1,632.20	$2,040.26	$3,162.75