Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.25 / $1,572.25 / $6,084.61	Facility		$1,572.25	$1,572.25	$6,084.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,321.34 / $1,642.01 / $1,985.24	Professional		$1,321.34	$1,642.01	$1,985.24
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 $2,680.84 / $3,520.70 / $3,520.70	Professional		$2,680.84	$3,520.70	$3,520.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,457.48	Facility		$2,253.75	$2,253.75	$3,457.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $3,027.50	Professional		$1,915.69	$1,915.69	$3,027.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,180.88 / $3,457.48 / $6,569.21	Professional		$3,180.88	$3,457.48	$6,569.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,572.25 / $1,572.25 / $6,084.61	Facility		$1,572.25	$1,572.25	$6,084.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,270.58 / $1,664.73 / $2,179.80	Professional		$1,270.58	$1,664.73	$2,179.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,286.89 / $4,929.89 / $6,811.90	Professional		$4,286.89	$4,929.89	$6,811.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,457.48	Facility		$2,253.75	$2,253.75	$3,457.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $4,562.25	Professional		$1,915.69	$1,915.69	$4,562.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,517.16 / $3,351.05 / $3,351.05	Facility		$2,517.16	$3,351.05	$3,351.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,517.16 / $3,351.05 / $3,745.73	Professional		$2,517.16	$3,351.05	$3,745.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,587.50 / $1,908.66 / $2,927.39	Professional		$1,587.50	$1,908.66	$2,927.39