Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,902.48 / $8,243.81 / $9,079.19	Facility		$2,902.48	$8,243.81	$9,079.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.13 / $1,758.68 / $1,868.60	Professional		$1,165.13	$1,758.68	$1,868.60
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,714.71 / $1,714.71 / $1,714.71	Professional		$1,714.71	$1,714.71	$1,714.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.80 / $2,856.15 / $6,568.79	Facility		$1,471.80	$2,856.15	$6,568.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,596.05 / $10,596.05 / $10,596.05	Professional		$10,596.05	$10,596.05	$10,596.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.27 / $2,967.77 / $5,429.92	Professional		$2,308.27	$2,967.77	$5,429.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,383.25 / $9,079.19 / $9,079.19	Facility		$3,383.25	$9,079.19	$9,079.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,442.78 / $1,868.60 / $9,079.19	Professional		$1,442.78	$1,868.60	$9,079.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,253.56 / $3,297.53 / $4,396.70	Professional		$3,253.56	$3,297.53	$4,396.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,531.81 / $2,777.73 / $7,295.46	Facility		$1,531.81	$2,777.73	$7,295.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10,596.05 / $10,596.05 / $10,596.05	Professional		$10,596.05	$10,596.05	$10,596.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,418.19	Facility		$2,198.35	$2,198.35	$2,418.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,418.19	Professional		$2,198.35	$2,198.35	$2,418.19
United Facility/Professional Facility Modifier Low / Median / High Price $923.31 / $923.31 / $923.31	Facility		$923.31	$923.31	$923.31
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $1,319.01 / $2,935.24	Professional		$923.31	$1,319.01	$2,935.24