Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,529.42 / $4,529.42 / $17,528.90	Facility		$4,529.42	$4,529.42	$17,528.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,618.90 / $4,795.85 / $5,830.18	Professional		$3,618.90	$4,795.85	$5,830.18
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 $7,723.10 / $10,142.60 / $10,142.60	Professional		$7,723.10	$10,142.60	$10,142.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $9,247.54	Facility		$7,261.93	$7,261.93	$9,247.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $12,525.00	Professional		$5,301.21	$5,301.21	$12,525.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,507.74 / $9,247.54 / $17,570.33	Professional		$8,507.74	$9,247.54	$17,570.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,529.42 / $4,529.42 / $17,528.90	Facility		$4,529.42	$4,529.42	$17,528.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,618.90 / $4,795.85 / $6,700.03	Professional		$3,618.90	$4,795.85	$6,700.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,263.70 / $12,612.40 / $18,219.30	Professional		$6,263.70	$12,612.40	$18,219.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $9,247.54	Facility		$7,261.93	$7,261.93	$9,247.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $12,525.00	Professional		$5,301.21	$5,301.21	$12,525.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,846.64 / $4,846.64 / $9,653.87	Facility		$4,846.64	$4,846.64	$9,653.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,846.64 / $9,653.87 / $9,846.95	Professional		$4,846.64	$9,653.87	$9,846.95
United Facility/Professional Professional Modifier Low / Median / High Price $4,573.33 / $5,716.67 / $9,146.66	Professional		$4,573.33	$5,716.67	$9,146.66