Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,482.18 / $4,482.18 / $17,346.00	Facility		$4,482.18	$4,482.18	$17,346.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,977.93 / $4,745.83 / $6,115.83	Professional		$3,977.93	$4,745.83	$6,115.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7,642.55 / $10,036.81 / $10,036.81	Professional		$7,642.55	$10,036.81	$10,036.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $10,164.96	Facility		$6,652.12	$6,652.12	$10,164.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $8,900.81	Professional		$4,856.05	$4,856.05	$8,900.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,351.77 / $10,164.96 / $19,313.43	Professional		$9,351.77	$10,164.96	$19,313.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,482.18 / $4,482.18 / $17,346.00	Facility		$4,482.18	$4,482.18	$17,346.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,977.93 / $4,921.60 / $8,157.57	Professional		$3,977.93	$4,921.60	$8,157.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12,603.30 / $14,493.80 / $20,026.80	Professional		$12,603.30	$14,493.80	$20,026.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $10,164.96	Facility		$6,652.12	$6,652.12	$10,164.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $4,856.05 / $11,921.25	Professional		$4,856.05	$4,856.05	$11,921.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,175.89 / $9,553.19 / $9,553.19	Facility		$7,175.89	$9,553.19	$9,553.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,175.89 / $9,553.19 / $9,787.76	Professional		$7,175.89	$9,553.19	$9,787.76
United Facility/Professional Professional Modifier Low / Median / High Price $4,601.64 / $6,022.09 / $9,051.25	Professional		$4,601.64	$6,022.09	$9,051.25