Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,625.13 / $4,625.13 / $17,899.30	Facility		$4,625.13	$4,625.13	$17,899.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,686.64 / $4,897.20 / $5,939.32	Professional		$3,686.64	$4,897.20	$5,939.32
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 $7,886.30 / $10,356.91 / $10,356.91	Professional		$7,886.30	$10,356.91	$10,356.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $9,420.65	Facility		$7,503.37	$7,503.37	$9,420.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $8,249.04	Professional		$5,477.46	$5,477.46	$8,249.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,667.00 / $9,420.65 / $17,899.24	Professional		$8,667.00	$9,420.65	$17,899.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,625.13 / $4,625.13 / $17,899.30	Facility		$4,625.13	$4,625.13	$17,899.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,686.64 / $4,898.64 / $6,831.68	Professional		$3,686.64	$4,898.64	$6,831.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,381.00 / $12,848.50 / $18,560.40	Professional		$6,381.00	$12,848.50	$18,560.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $9,420.65	Facility		$7,503.37	$7,503.37	$9,420.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $12,466.13	Professional		$5,477.46	$5,477.46	$12,466.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,949.07 / $4,949.07 / $9,857.87	Facility		$4,949.07	$4,949.07	$9,857.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,949.07 / $9,857.87 / $10,055.03	Professional		$4,949.07	$9,857.87	$10,055.03
United Facility/Professional Professional Modifier Low / Median / High Price $4,699.85 / $5,597.53 / $9,339.95	Professional		$4,699.85	$5,597.53	$9,339.95