Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,063.00 / $16,493.90 / $19,991.20	Facility		$4,063.00	$16,493.90	$19,991.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $3,871.80 / $4,063.00	Professional		$2,868.00	$3,871.80	$4,063.00
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 $3,728.40 / $3,728.40 / $3,728.40	Professional		$3,728.40	$3,728.40	$3,728.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.21 / $6,214.00 / $15,862.24	Facility		$3,200.21	$6,214.00	$15,862.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,039.60 / $23,039.60 / $23,039.60	Professional		$23,039.60	$23,039.60	$23,039.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,019.00 / $6,453.00 / $11,806.60	Professional		$5,019.00	$6,453.00	$11,806.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,923.39 / $13,570.40 / $19,741.40	Facility		$4,923.39	$13,570.40	$19,741.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,137.11 / $4,063.00 / $19,741.40	Professional		$3,137.11	$4,063.00	$19,741.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,074.40 / $7,170.00 / $9,560.00	Professional		$7,074.40	$7,170.00	$9,560.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,200.21 / $6,214.00 / $15,862.24	Facility		$3,200.21	$6,214.00	$15,862.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23,039.60 / $23,039.60 / $23,039.60	Professional		$23,039.60	$23,039.60	$23,039.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $5,258.00	Facility		$4,780.00	$4,780.00	$5,258.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $5,258.00	Professional		$4,780.00	$4,780.00	$5,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $8,747.40	Professional		$2,007.60	$2,868.00	$8,747.40