Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.13 / $11,522.20 / $16,197.90	Facility		$3,137.13	$11,522.20	$16,197.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $3,137.13 / $3,292.05	Professional		$2,323.80	$3,137.13	$3,292.05
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 $2,592.96 / $5,031.88 / $11,572.72	Facility		$2,592.96	$5,031.88	$11,572.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.06 / $2,068.16 / $8,759.58	Professional		$1,795.06	$2,068.16	$8,759.58
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 $3,137.13 / $10,995.40 / $15,995.50	Facility		$3,137.13	$10,995.40	$15,995.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,541.85 / $3,175.86 / $15,995.50	Professional		$2,541.85	$3,175.86	$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 $2,698.71 / $4,893.72 / $12,852.35	Facility		$2,698.71	$4,893.72	$12,852.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,795.06 / $3,722.82 / $8,759.58	Professional		$1,795.06	$3,722.82	$8,759.58
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 / $5,809.50	Professional		$1,626.66	$2,323.80	$5,809.50