Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,620.21 / $10,507.30 / $12,398.60	Facility		$4,620.21	$10,507.30	$12,398.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,431.69	Professional		$1,500.00	$1,500.00	$2,431.69
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 $2,341.63 / $2,341.63 / $2,341.63	Professional		$2,341.63	$2,341.63	$2,341.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,848.99 / $4,434.68 / $9,961.98	Facility		$2,848.99	$4,434.68	$9,961.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,470.07 / $14,470.07 / $14,470.07	Professional		$14,470.07	$14,470.07	$14,470.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,152.19 / $4,052.82 / $7,415.16	Professional		$3,152.19	$4,052.82	$7,415.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8,163.28 / $12,398.60 / $12,398.60	Facility		$8,163.28	$12,398.60	$12,398.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $4,620.21 / $12,398.60	Professional		$1,500.00	$4,620.21	$12,398.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,443.09 / $4,503.14 / $6,004.18	Professional		$4,443.09	$4,503.14	$6,004.18
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,922.07 / $4,646.95 / $9,961.98	Facility		$2,922.07	$4,646.95	$9,961.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14,470.07 / $14,470.07 / $14,470.07	Professional		$14,470.07	$14,470.07	$14,470.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $3,302.30	Facility		$3,002.09	$3,002.09	$3,302.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $3,302.30	Professional		$3,002.09	$3,002.09	$3,302.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,801.25 / $4,202.93	Professional		$1,260.88	$1,801.25	$4,202.93