Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $11,179.90 / $13,550.50	Facility		$2,754.00	$11,179.90	$13,550.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,624.40 / $2,754.00	Professional		$1,944.00	$2,624.40	$2,754.00
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 $2,527.19 / $2,527.19 / $2,527.19	Professional		$2,527.19	$2,527.19	$2,527.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,074.76 / $4,786.35 / $10,751.95	Facility		$3,074.76	$4,786.35	$10,751.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,616.80 / $15,616.80 / $15,616.80	Professional		$15,616.80	$15,616.80	$15,616.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,402.00 / $4,374.00 / $8,002.80	Professional		$3,402.00	$4,374.00	$8,002.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,337.20 / $9,198.36 / $13,381.20	Facility		$3,337.20	$9,198.36	$13,381.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $2,754.00 / $13,381.20	Professional		$2,203.19	$2,754.00	$13,381.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,795.20 / $4,860.00 / $6,480.00	Professional		$4,795.20	$4,860.00	$6,480.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,153.80 / $5,015.46 / $10,751.95	Facility		$3,153.80	$5,015.46	$10,751.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15,616.80 / $15,616.80 / $15,616.80	Professional		$15,616.80	$15,616.80	$15,616.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,564.00	Facility		$3,240.00	$3,240.00	$3,564.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,564.00	Professional		$3,240.00	$3,240.00	$3,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,944.00 / $4,326.05	Professional		$1,360.80	$1,944.00	$4,326.05