Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,455.00 / $11,547.30 / $23,002.40	Facility		$4,455.00	$11,547.30	$23,002.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $4,455.00 / $4,675.00	Professional		$3,300.00	$4,455.00	$4,675.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10,193.15 / $24,593.80 / $37,381.85	Facility		$10,193.15	$24,593.80	$37,381.85
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4,247.10 / $4,247.10 / $4,247.10	Professional		$4,247.10	$4,247.10	$4,247.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,682.25 / $8,124.94 / $18,251.68	Facility		$3,682.25	$8,124.94	$18,251.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,533.12 / $5,098.55 / $9,854.32	Professional		$2,533.12	$5,098.55	$9,854.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,239.78 / $7,350.75 / $10,345.50	Professional		$3,239.78	$7,350.75	$10,345.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,675.00 / $15,057.90 / $22,797.60	Facility		$4,675.00	$15,057.90	$22,797.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,609.65 / $4,510.00 / $22,797.60	Professional		$3,609.65	$4,510.00	$22,797.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,006.21 / $8,114.40 / $10,890.00	Professional		$8,006.21	$8,114.40	$10,890.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,299.78 / $9,150.20 / $18,251.68	Facility		$5,299.78	$9,150.20	$18,251.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,582.17 / $5,235.52 / $9,891.95	Professional		$2,582.17	$5,235.52	$9,891.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,520.00 / $5,520.00 / $6,050.00	Facility		$5,520.00	$5,520.00	$6,050.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,520.00 / $5,520.00 / $6,050.00	Professional		$5,520.00	$5,520.00	$6,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $3,300.00 / $8,250.00	Professional		$2,310.00	$3,300.00	$8,250.00