Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.27 / $7,116.45 / $10,498.40	Facility		$2,033.27	$7,116.45	$10,498.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.56 / $2,033.27 / $16,140.60	Professional		$1,857.56	$2,033.27	$16,140.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $13,857.58 / $21,063.11	Facility		$8,639.91	$13,857.58	$21,063.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,957.96 / $1,957.96 / $1,957.96	Professional		$1,957.96	$1,957.96	$1,957.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,382.19 / $3,708.15 / $8,329.91	Facility		$2,382.19	$3,708.15	$8,329.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.65 / $2,681.07 / $5,677.29	Professional		$1,306.65	$2,681.07	$5,677.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.58 / $3,388.78 / $4,769.39	Professional		$1,493.58	$3,388.78	$4,769.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,133.67 / $7,116.45 / $10,367.20	Facility		$2,133.67	$7,116.45	$10,367.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,857.56 / $2,133.67 / $10,367.20	Professional		$1,857.56	$2,133.67	$10,367.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.11 / $3,765.32 / $5,020.42	Professional		$3,715.11	$3,765.32	$5,020.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,443.19 / $4,176.18 / $8,329.91	Facility		$2,443.19	$4,176.18	$8,329.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.56 / $2,687.07 / $5,677.29	Professional		$1,321.56	$2,687.07	$5,677.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,408.92	Facility		$2,510.21	$2,510.21	$3,408.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,408.92	Professional		$2,510.21	$2,510.21	$3,408.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,718.82	Professional		$1,054.29	$1,506.13	$3,718.82