Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,481.66 / $10,074.40 / $12,210.50	Facility		$2,481.66	$10,074.40	$12,210.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $2,364.88 / $2,481.66	Professional		$1,751.76	$2,364.88	$2,481.66
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 $2,277.29 / $2,277.29 / $2,277.29	Professional		$2,277.29	$2,277.29	$2,277.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,770.70 / $4,312.79 / $9,688.16	Facility		$2,770.70	$4,312.79	$9,688.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,072.47 / $14,072.47 / $14,072.47	Professional		$14,072.47	$14,072.47	$14,072.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,065.58 / $3,941.46 / $7,211.41	Professional		$3,065.58	$3,941.46	$7,211.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,007.19 / $8,288.74 / $12,057.90	Facility		$3,007.19	$8,288.74	$12,057.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,916.13 / $2,481.66 / $12,057.90	Professional		$1,916.13	$2,481.66	$12,057.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,321.01 / $4,379.39 / $5,839.20	Professional		$4,321.01	$4,379.39	$5,839.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,841.79 / $4,519.27 / $9,688.16	Facility		$2,841.79	$4,519.27	$9,688.16
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14,072.47 / $14,072.47 / $14,072.47	Professional		$14,072.47	$14,072.47	$14,072.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $3,211.56	Facility		$2,919.60	$2,919.60	$3,211.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $3,211.56	Professional		$2,919.60	$2,919.60	$3,211.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $5,067.26	Professional		$1,226.23	$1,751.76	$5,067.26