Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.31 / $6,687.31 / $8,105.27	Facility		$1,647.31	$6,687.31	$8,105.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.81 / $1,569.79 / $1,647.31	Professional		$1,162.81	$1,569.79	$1,647.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,511.65 / $1,511.65 / $1,511.65	Professional		$1,511.65	$1,511.65	$1,511.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,839.18 / $2,655.63 / $6,431.61	Facility		$1,839.18	$2,655.63	$6,431.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,341.20 / $9,341.20 / $9,341.20	Professional		$9,341.20	$9,341.20	$9,341.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.91 / $2,616.31 / $4,786.88	Professional		$2,034.91	$2,616.31	$4,786.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,996.15 / $5,502.02 / $8,003.98	Facility		$1,996.15	$5,502.02	$8,003.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,271.92 / $1,647.31 / $8,003.98	Professional		$1,271.92	$1,647.31	$8,003.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,868.25 / $2,907.01 / $3,876.02	Professional		$2,868.25	$2,907.01	$3,876.02
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,886.23 / $2,999.66 / $6,431.61	Facility		$1,886.23	$2,999.66	$6,431.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,341.20 / $9,341.20 / $9,341.20	Professional		$9,341.20	$9,341.20	$9,341.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $2,131.81	Facility		$1,938.01	$1,938.01	$2,131.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $2,131.81	Professional		$1,938.01	$1,938.01	$2,131.81
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $1,162.81 / $2,907.02	Professional		$813.96	$1,162.81	$2,907.02