Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.67 / $8,661.73 / $10,498.40	Facility		$2,133.67	$8,661.73	$10,498.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $2,033.27 / $2,133.67	Professional		$1,506.13	$2,033.27	$2,133.67
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 $1,957.96 / $1,957.96 / $1,957.96	Professional		$1,957.96	$1,957.96	$1,957.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.19 / $3,708.15 / $8,329.91	Facility		$2,382.19	$3,708.15	$8,329.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,099.21 / $12,099.21 / $12,099.21	Professional		$12,099.21	$12,099.21	$12,099.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.72 / $3,388.78 / $6,200.22	Professional		$2,635.72	$3,388.78	$6,200.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,585.52 / $7,126.49 / $10,367.20	Facility		$2,585.52	$7,126.49	$10,367.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,647.45 / $2,133.67 / $10,367.20	Professional		$1,647.45	$2,133.67	$10,367.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.11 / $3,765.32 / $5,020.42	Professional		$3,715.11	$3,765.32	$5,020.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,443.19 / $3,885.39 / $8,329.91	Facility		$2,443.19	$3,885.39	$8,329.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12,099.21 / $12,099.21 / $12,099.21	Professional		$12,099.21	$12,099.21	$12,099.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,068.03	Facility		$2,510.21	$2,510.21	$3,068.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,068.03	Professional		$2,510.21	$2,510.21	$3,068.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,514.29	Professional		$1,054.29	$1,506.13	$3,514.29