Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,720.00 / $11,200.00 / $13,383.20	Facility		$2,720.00	$11,200.00	$13,383.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $2,592.00 / $2,720.00	Professional		$1,920.00	$2,592.00	$2,720.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,496.00 / $2,496.00 / $2,496.00	Professional		$2,496.00	$2,496.00	$2,496.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,142.40 / $4,160.00 / $10,619.38	Facility		$2,142.40	$4,160.00	$10,619.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,424.00 / $15,424.00 / $15,424.00	Professional		$15,424.00	$15,424.00	$15,424.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $4,320.00 / $7,904.00	Professional		$3,360.00	$4,320.00	$7,904.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,563.20 / $11,041.90 / $13,383.20	Facility		$3,563.20	$11,041.90	$13,383.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,100.16 / $2,720.00 / $13,216.00	Professional		$2,100.16	$2,720.00	$13,216.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,736.00 / $4,800.00 / $6,400.00	Professional		$4,736.00	$4,800.00	$6,400.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,142.40 / $4,160.00 / $10,619.38	Facility		$2,142.40	$4,160.00	$10,619.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15,424.00 / $15,424.00 / $15,424.00	Professional		$15,424.00	$15,424.00	$15,424.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Facility		$3,200.00	$3,200.00	$3,200.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $4,800.00	Professional		$1,344.00	$1,920.00	$4,800.00