Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.75 / $6,142.50 / $7,339.87	Facility		$1,491.75	$6,142.50	$7,339.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,421.55 / $1,491.75	Professional		$1,053.00	$1,421.55	$1,491.75
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,521.00 / $1,521.00 / $1,521.00	Professional		$1,521.00	$1,521.00	$1,521.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,305.53 / $2,535.00 / $6,470.73	Facility		$1,305.53	$2,535.00	$6,470.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,632.50 / $4,816.50	Professional		$2,047.50	$2,632.50	$4,816.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,954.19 / $6,055.80 / $7,339.87	Facility		$1,954.19	$6,055.80	$7,339.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,151.81 / $1,491.75 / $7,248.15	Professional		$1,151.81	$1,491.75	$7,248.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.00 / $2,925.00 / $3,900.00	Professional		$2,886.00	$2,925.00	$3,900.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.53 / $2,535.00 / $6,470.73	Facility		$1,305.53	$2,535.00	$6,470.73
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,399.00 / $9,399.00 / $9,399.00	Professional		$9,399.00	$9,399.00	$9,399.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Facility		$1,755.00	$1,755.00	$1,755.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Professional		$1,755.00	$1,755.00	$1,755.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,053.00 / $2,457.00	Professional		$737.10	$1,053.00	$2,457.00