Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,975.00 / $9,993.20 / $14,637.90	Facility		$2,975.00	$9,993.20	$14,637.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,835.00 / $2,975.00	Professional		$2,100.00	$2,835.00	$2,975.00
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 $2,730.00 / $2,730.00 / $2,730.00	Professional		$2,730.00	$2,730.00	$2,730.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,321.50 / $5,089.18 / $11,614.71	Facility		$3,321.50	$5,089.18	$11,614.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,725.00 / $8,645.00	Professional		$3,675.00	$4,725.00	$8,645.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,897.25 / $9,936.50 / $14,455.00	Facility		$3,897.25	$9,936.50	$14,455.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,297.05 / $2,975.00 / $14,455.00	Professional		$2,297.05	$2,975.00	$14,455.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,180.00 / $5,250.00 / $7,000.00	Professional		$5,180.00	$5,250.00	$7,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,406.62 / $5,417.52 / $11,614.71	Facility		$3,406.62	$5,417.52	$11,614.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,850.00	Facility		$3,500.00	$3,500.00	$3,850.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,850.00	Professional		$3,500.00	$3,500.00	$3,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $4,900.00	Professional		$1,470.00	$2,100.00	$4,900.00