Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,772.72 / $2,772.72 / $2,935.82	Facility		$2,772.72	$2,772.72	$2,935.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,419.69 / $2,935.82 / $3,767.66	Professional		$2,419.69	$2,935.82	$3,767.66
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 $4,727.75 / $6,208.86 / $6,208.86	Professional		$4,727.75	$6,208.86	$6,208.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $6,183.15	Facility		$3,799.01	$3,799.01	$6,183.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $5,414.18	Professional		$3,229.16	$3,229.16	$5,414.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,688.50 / $6,183.15 / $11,747.99	Professional		$5,688.50	$6,183.15	$11,747.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,772.72 / $2,772.72 / $2,772.72	Facility		$2,772.72	$2,772.72	$2,772.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,419.69 / $2,935.82 / $4,301.76	Professional		$2,419.69	$2,935.82	$4,301.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,666.40 / $8,816.29 / $12,181.90	Professional		$7,666.40	$8,816.29	$12,181.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $6,183.15	Facility		$3,799.01	$3,799.01	$6,183.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $7,542.00	Professional		$3,229.16	$3,229.16	$7,542.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,293.50 / $4,293.50 / $5,909.69	Facility		$4,293.50	$4,293.50	$5,909.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,293.50 / $5,909.69 / $6,027.88	Professional		$4,293.50	$5,909.69	$6,027.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,904.01 / $3,355.66 / $5,599.20	Professional		$2,904.01	$3,355.66	$5,599.20