Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,325.51 / $7,860.22 / $12,007.30	Facility		$2,325.51	$7,860.22	$12,007.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.07 / $2,325.51 / $18,460.50	Professional		$1,276.07	$2,325.51	$18,460.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7,345.69 / $9,510.11 / $14,455.09	Facility		$7,345.69	$9,510.11	$14,455.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,239.38 / $2,239.38 / $2,239.38	Professional		$2,239.38	$2,239.38	$2,239.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,724.58 / $4,241.20 / $9,527.34	Facility		$2,724.58	$4,241.20	$9,527.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.79 / $3,066.15 / $6,493.41	Professional		$1,352.79	$3,066.15	$6,493.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,708.25 / $3,875.85 / $5,454.90	Professional		$1,708.25	$3,875.85	$5,454.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,440.35 / $7,860.22 / $11,857.20	Facility		$2,440.35	$7,860.22	$11,857.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,808.73 / $2,440.35 / $11,857.20	Professional		$1,808.73	$2,440.35	$11,857.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,249.08 / $4,306.50 / $5,742.00	Professional		$4,249.08	$4,306.50	$5,742.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,794.56 / $4,776.41 / $9,527.34	Facility		$2,794.56	$4,776.41	$9,527.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.58 / $3,073.34 / $6,493.41	Professional		$1,865.58	$3,073.34	$6,493.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $311.30 / $2,871.00 / $2,871.00	Facility		$311.30	$2,871.00	$2,871.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $311.30 / $2,871.00 / $2,871.00	Professional		$311.30	$2,871.00	$2,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,722.60 / $3,588.75	Professional		$1,205.82	$1,722.60	$3,588.75