Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.37 / $1,015.37 / $1,075.09	Facility		$1,015.37	$1,015.37	$1,075.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.79 / $1,075.09 / $1,385.45	Professional		$889.79	$1,075.09	$1,385.45
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 $1,731.31 / $2,273.69 / $2,273.69	Professional		$1,731.31	$2,273.69	$2,273.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,273.69	Facility		$1,800.00	$1,800.00	$2,273.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,990.93	Professional		$1,530.00	$1,530.00	$1,990.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,091.80 / $2,273.69 / $4,320.03	Professional		$2,091.80	$2,273.69	$4,320.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,015.37 / $1,015.37 / $1,015.37	Facility		$1,015.37	$1,015.37	$1,015.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $889.79 / $1,075.09 / $1,566.55	Professional		$889.79	$1,075.09	$1,566.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.10 / $3,242.00 / $4,479.60	Professional		$2,819.10	$3,242.00	$4,479.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $2,273.69	Facility		$1,800.00	$1,800.00	$2,273.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $2,700.75	Professional		$1,530.00	$1,530.00	$2,700.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,164.14 / $2,164.14 / $2,164.14	Facility		$2,164.14	$2,164.14	$2,164.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,164.14 / $2,164.14 / $2,217.30	Professional		$2,164.14	$2,164.14	$2,217.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.47 / $1,364.22 / $1,986.58	Professional		$1,038.47	$1,364.22	$1,986.58