Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,908.58 / $3,908.58 / $15,126.20	Facility		$3,908.58	$3,908.58	$15,126.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,154.08 / $4,138.50 / $5,115.25	Professional		$3,154.08	$4,138.50	$5,115.25
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 $6,664.51 / $8,752.37 / $8,752.37	Professional		$6,664.51	$8,752.37	$8,752.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $8,059.76	Facility		$6,300.68	$6,300.68	$8,059.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $7,057.41	Professional		$4,599.50	$4,599.50	$7,057.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,414.98 / $8,059.76 / $15,313.54	Professional		$7,414.98	$8,059.76	$15,313.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,908.58 / $3,908.58 / $15,126.20	Facility		$3,908.58	$3,908.58	$15,126.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,154.08 / $4,138.50 / $5,998.80	Professional		$3,154.08	$4,138.50	$5,998.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,459.10 / $10,992.40 / $15,879.20	Professional		$5,459.10	$10,992.40	$15,879.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $8,059.76	Facility		$6,300.68	$6,300.68	$8,059.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $11,291.63	Professional		$4,599.50	$4,599.50	$11,291.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,182.34 / $4,182.34 / $8,330.64	Facility		$4,182.34	$4,182.34	$8,330.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,182.34 / $8,330.64 / $8,497.25	Professional		$4,182.34	$8,330.64	$8,497.25
United Facility/Professional Professional Modifier Low / Median / High Price $4,020.92 / $4,875.88 / $7,892.96	Professional		$4,020.92	$4,875.88	$7,892.96