Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.32 / $6,525.00 / $7,186.20	Facility		$2,297.32	$6,525.00	$7,186.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.20 / $1,392.00 / $1,479.00	Professional		$922.20	$1,392.00	$1,479.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,357.20 / $1,357.20	Professional		$1,357.20	$1,357.20	$1,357.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.93 / $2,260.64 / $5,199.21	Facility		$1,164.93	$2,260.64	$5,199.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,386.79 / $8,386.79 / $8,386.79	Professional		$8,386.79	$8,386.79	$8,386.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,349.00 / $4,297.80	Professional		$1,827.00	$2,349.00	$4,297.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,677.86 / $7,186.20 / $7,186.20	Facility		$2,677.86	$7,186.20	$7,186.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,141.96 / $1,479.00 / $7,186.20	Professional		$1,141.96	$1,479.00	$7,186.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.19 / $2,610.00 / $3,480.00	Professional		$2,575.19	$2,610.00	$3,480.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,212.43 / $2,198.56 / $5,774.21	Facility		$1,212.43	$2,198.56	$5,774.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8,386.79 / $8,386.79 / $8,386.79	Professional		$8,386.79	$8,386.79	$8,386.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $1,914.00	Facility		$1,740.00	$1,740.00	$1,914.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $1,914.00	Professional		$1,740.00	$1,740.00	$1,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $1,044.00 / $2,323.25	Professional		$730.80	$1,044.00	$2,323.25