Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,654.43 / $19,165.30 / $22,901.20	Facility		$4,654.43	$19,165.30	$22,901.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,285.48 / $4,435.39 / $4,654.43	Professional		$3,285.48	$4,435.39	$4,654.43
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4,271.12 / $4,271.12 / $4,271.12	Professional		$4,271.12	$4,271.12	$4,271.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,666.05 / $7,118.54 / $18,171.28	Facility		$3,666.05	$7,118.54	$18,171.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26,393.36 / $26,393.36 / $26,393.36	Professional		$26,393.36	$26,393.36	$26,393.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,749.59 / $7,392.33 / $13,525.23	Professional		$5,749.59	$7,392.33	$13,525.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,097.30 / $18,894.80 / $22,901.20	Facility		$6,097.30	$18,894.80	$22,901.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,593.77 / $4,654.43 / $22,615.10	Professional		$3,593.77	$4,654.43	$22,615.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,104.18 / $8,213.70 / $10,951.60	Professional		$8,104.18	$8,213.70	$10,951.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,666.05 / $7,118.54 / $18,171.28	Facility		$3,666.05	$7,118.54	$18,171.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $26,393.36 / $26,393.36 / $26,393.36	Professional		$26,393.36	$26,393.36	$26,393.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,475.80 / $5,475.80 / $5,475.80	Facility		$5,475.80	$5,475.80	$5,475.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $5,475.80 / $5,475.80	Professional		$5,475.80	$5,475.80	$5,475.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.84 / $3,285.48 / $7,311.29	Professional		$2,299.84	$3,285.48	$7,311.29