Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,975.00 / $12,250.00 / $14,637.90	Facility		$2,975.00	$12,250.00	$14,637.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $2,835.00 / $2,975.00	Professional		$1,793.73	$2,835.00	$2,975.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,730.00 / $2,730.00 / $2,730.00	Professional		$2,730.00	$2,730.00	$2,730.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,343.25 / $4,547.27 / $10,458.18	Facility		$2,343.25	$4,547.27	$10,458.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,725.00 / $8,645.00	Professional		$3,675.00	$4,725.00	$8,645.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,897.25 / $12,077.10 / $14,637.90	Facility		$3,897.25	$12,077.10	$14,637.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $2,975.00 / $14,455.00	Professional		$1,793.73	$2,975.00	$14,455.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,180.00 / $5,250.00 / $7,000.00	Professional		$5,180.00	$5,250.00	$7,000.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,438.80 / $4,422.46 / $11,614.71	Facility		$2,438.80	$4,422.46	$11,614.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16,870.00 / $16,870.00 / $16,870.00	Professional		$16,870.00	$16,870.00	$16,870.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,850.00	Facility		$3,500.00	$3,500.00	$3,850.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $3,850.00	Professional		$3,500.00	$3,500.00	$3,850.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,470.00 / $1,470.00 / $1,470.00	Facility		$1,470.00	$1,470.00	$1,470.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $4,900.00	Professional		$1,470.00	$2,100.00	$4,900.00