Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.30 / $1,142.30 / $1,209.50	Facility		$1,142.30	$1,142.30	$1,209.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.48 / $1,209.50 / $1,605.27	Professional		$1,019.48	$1,209.50	$1,605.27
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 $1,947.74 / $2,557.92 / $2,557.92	Professional		$1,947.74	$2,557.92	$2,557.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $2,605.12	Facility		$1,482.94	$1,482.94	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $2,281.13	Professional		$1,260.50	$1,260.50	$2,281.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,396.71 / $2,605.12 / $4,949.72	Professional		$2,396.71	$2,605.12	$4,949.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,142.30 / $1,142.30 / $1,142.30	Facility		$1,142.30	$1,142.30	$1,142.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,019.48 / $1,209.50 / $1,762.36	Professional		$1,019.48	$1,209.50	$1,762.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,230.00 / $3,714.50 / $5,132.50	Professional		$3,230.00	$3,714.50	$5,132.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $2,605.12	Facility		$1,482.94	$1,482.94	$2,605.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $3,078.75	Professional		$1,260.50	$1,260.50	$3,078.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,434.67 / $2,434.67 / $2,434.67	Facility		$2,434.67	$2,434.67	$2,434.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,434.67 / $2,434.67 / $2,527.67	Professional		$2,434.67	$2,434.67	$2,527.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.99 / $1,390.57 / $2,306.76	Professional		$1,183.99	$1,390.57	$2,306.76