Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,034.31 / $2,034.31 / $7,872.78	Facility		$2,034.31	$2,034.31	$7,872.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.76 / $2,153.98 / $2,632.35	Professional		$1,874.76	$2,153.98	$2,632.35
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 $3,468.70 / $4,555.38 / $4,555.38	Professional		$3,468.70	$4,555.38	$4,555.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $4,967.95	Facility		$3,600.52	$3,600.52	$4,967.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $4,350.10	Professional		$3,060.44	$3,060.44	$4,350.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.51 / $4,967.95 / $9,439.11	Professional		$4,570.51	$4,967.95	$9,439.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,034.31 / $2,034.31 / $7,872.78	Facility		$2,034.31	$2,034.31	$7,872.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,825.66 / $2,153.98 / $3,132.08	Professional		$1,825.66	$2,153.98	$3,132.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,159.60 / $7,083.60 / $9,787.70	Professional		$6,159.60	$7,083.60	$9,787.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $4,967.95	Facility		$3,600.52	$3,600.52	$4,967.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $5,262.38	Professional		$3,060.44	$3,060.44	$5,262.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,256.90 / $4,335.88 / $4,335.88	Facility		$3,256.90	$4,335.88	$4,335.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,256.90 / $4,335.88 / $4,728.57	Professional		$3,256.90	$4,335.88	$4,728.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,054.03 / $2,509.13 / $3,980.13	Professional		$2,054.03	$2,509.13	$3,980.13