Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,252.23 / $2,252.23 / $8,716.17	Facility		$2,252.23	$2,252.23	$8,716.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,075.59 / $2,384.71 / $2,914.37	Professional		$2,075.59	$2,384.71	$2,914.37
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 $3,840.29 / $5,043.37 / $5,043.37	Professional		$3,840.29	$5,043.37	$5,043.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,500.23	Facility		$2,802.84	$2,802.84	$5,500.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $4,816.18	Professional		$2,382.41	$2,382.41	$4,816.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,060.21 / $5,500.23 / $10,450.44	Professional		$5,060.21	$5,500.23	$10,450.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,252.23 / $2,252.23 / $8,716.17	Facility		$2,252.23	$2,252.23	$8,716.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,021.26 / $2,384.71 / $3,467.66	Professional		$2,021.26	$2,384.71	$3,467.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,819.60 / $7,842.60 / $10,836.40	Professional		$6,819.60	$7,842.60	$10,836.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,500.23	Facility		$2,802.84	$2,802.84	$5,500.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $5,826.00	Professional		$2,382.41	$2,382.41	$5,826.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,605.81 / $4,800.35 / $4,800.35	Facility		$3,605.81	$4,800.35	$4,800.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,605.81 / $4,800.35 / $5,235.20	Professional		$3,605.81	$4,800.35	$5,235.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,274.08 / $2,734.14 / $4,548.17	Professional		$2,274.08	$2,734.14	$4,548.17