Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,557.67 / $4,071.51	Facility		$1,494.41	$1,557.67	$4,071.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,509.35	Professional		$1,494.41	$1,494.41	$1,509.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,378.10 / $1,621.29 / $8,639.91	Facility		$1,378.10	$1,621.29	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,550.80 / $1,550.80 / $1,550.80	Professional		$1,550.80	$1,550.80	$1,550.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,613.89	Professional		$1,494.41	$1,494.41	$1,613.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,023.43	Professional		$1,494.41	$1,494.41	$2,023.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,557.67 / $4,071.51	Facility		$1,494.41	$1,557.67	$4,071.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,853.63	Professional		$1,494.41	$1,494.41	$1,853.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $2,013.50 / $2,325.10	Professional		$1,917.60	$2,013.50	$2,325.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,494.41 / $1,494.41	Facility		$1,409.82	$1,494.41	$1,494.41
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,691.78	Professional		$1,494.41	$1,494.41	$1,691.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,576.52 / $1,576.52 / $1,829.35	Facility		$1,576.52	$1,576.52	$1,829.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,576.52 / $1,576.52 / $1,829.35	Professional		$1,576.52	$1,576.52	$1,829.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,241.62	Professional		$1,494.41	$1,494.41	$2,241.62