Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.13 / $10,531.50 / $16,197.90	Facility		$3,137.13	$10,531.50	$16,197.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $3,137.13 / $24,903.40	Professional		$2,323.80	$3,137.13	$24,903.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $17,318.50 / $26,323.62	Facility		$8,639.91	$17,318.50	$26,323.62
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,020.94 / $3,020.94 / $3,020.94	Professional		$3,020.94	$3,020.94	$3,020.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,675.48 / $5,721.37 / $12,852.35	Facility		$3,675.48	$5,721.37	$12,852.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.73 / $3,573.39 / $6,725.85	Professional		$1,783.73	$3,573.39	$6,725.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.44 / $5,228.55 / $7,358.70	Professional		$2,304.44	$5,228.55	$7,358.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,292.05 / $10,603.50 / $15,995.50	Facility		$3,292.05	$10,603.50	$15,995.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,633.64 / $3,292.05 / $15,995.50	Professional		$2,633.64	$3,292.05	$15,995.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,732.04 / $5,809.50 / $7,746.00	Professional		$5,732.04	$5,809.50	$7,746.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,769.64 / $6,443.41 / $12,852.35	Facility		$3,769.64	$6,443.41	$12,852.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,783.73 / $3,589.04 / $6,751.53	Professional		$1,783.73	$3,589.04	$6,751.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,260.30	Facility		$3,873.00	$3,873.00	$4,260.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,260.30	Professional		$3,873.00	$3,873.00	$4,260.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $7,011.68	Professional		$1,626.66	$2,323.80	$7,011.68