Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.67 / $8,785.73 / $10,498.40	Facility		$2,133.67	$8,785.73	$10,498.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $2,033.27 / $2,133.67	Professional		$1,506.13	$2,033.27	$2,133.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,957.96 / $1,957.96 / $1,957.96	Professional		$1,957.96	$1,957.96	$1,957.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,680.59 / $3,261.32 / $7,500.65	Facility		$1,680.59	$3,261.32	$7,500.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,099.21 / $12,099.21 / $12,099.21	Professional		$12,099.21	$12,099.21	$12,099.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.72 / $3,388.78 / $6,200.22	Professional		$2,635.72	$3,388.78	$6,200.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,795.12 / $8,661.73 / $10,498.40	Facility		$2,795.12	$8,661.73	$10,498.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,647.45 / $2,133.67 / $10,367.20	Professional		$1,647.45	$2,133.67	$10,367.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.11 / $3,765.32 / $5,020.42	Professional		$3,715.11	$3,765.32	$5,020.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,749.12 / $3,171.75 / $8,329.91	Facility		$1,749.12	$3,171.75	$8,329.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12,099.21 / $12,099.21 / $12,099.21	Professional		$12,099.21	$12,099.21	$12,099.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $2,761.23	Facility		$2,510.21	$2,510.21	$2,761.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $2,761.23	Professional		$2,510.21	$2,510.21	$2,761.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,419.42	Professional		$1,054.29	$1,506.13	$3,419.42