Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,685.51 / $11,058.00 / $13,213.50	Facility		$2,685.51	$11,058.00	$13,213.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,895.65 / $2,559.13 / $2,685.51	Professional		$1,895.65	$2,559.13	$2,685.51
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,464.35 / $2,464.35 / $2,464.35	Professional		$2,464.35	$2,464.35	$2,464.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.23 / $4,107.24 / $10,484.64	Facility		$2,115.23	$4,107.24	$10,484.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,228.40 / $15,228.40 / $15,228.40	Professional		$15,228.40	$15,228.40	$15,228.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.39 / $4,265.22 / $7,803.77	Professional		$3,317.39	$4,265.22	$7,803.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,518.02 / $10,901.90 / $13,213.50	Facility		$3,518.02	$10,901.90	$13,213.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,073.53 / $2,685.51 / $13,048.40	Professional		$2,073.53	$2,685.51	$13,048.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,675.93 / $4,739.13 / $6,318.84	Professional		$4,675.93	$4,739.13	$6,318.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,115.23 / $4,107.24 / $10,484.64	Facility		$2,115.23	$4,107.24	$10,484.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15,228.40 / $15,228.40 / $15,228.40	Professional		$15,228.40	$15,228.40	$15,228.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $3,159.42	Facility		$3,159.42	$3,159.42	$3,159.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $3,159.42	Professional		$3,159.42	$3,159.42	$3,159.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,895.65 / $5,719.81	Professional		$1,326.96	$1,895.65	$5,719.81