Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,284.26 / $3,284.26 / $12,710.10	Facility		$3,284.26	$3,284.26	$12,710.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,783.88 / $3,384.23 / $3,919.99	Professional		$2,783.88	$3,384.23	$3,919.99
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 $5,599.98 / $7,354.35 / $7,354.35	Professional		$5,599.98	$7,354.35	$7,354.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $7,375.88	Facility		$4,423.18	$4,423.18	$7,375.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $6,458.58	Professional		$3,228.92	$3,228.92	$6,458.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,785.81 / $7,375.88 / $14,014.17	Professional		$6,785.81	$7,375.88	$14,014.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,284.26 / $3,284.26 / $12,710.10	Facility		$3,284.26	$3,284.26	$12,710.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,710.54 / $3,469.80 / $4,650.18	Professional		$2,710.54	$3,469.80	$4,650.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,145.20 / $10,517.00 / $14,531.80	Professional		$9,145.20	$10,517.00	$14,531.80
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $7,375.88	Facility		$4,423.18	$4,423.18	$7,375.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $7,926.75	Professional		$3,228.92	$3,228.92	$7,926.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,258.05 / $6,999.98 / $6,999.98	Facility		$5,258.05	$6,999.98	$6,999.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,258.05 / $6,999.98 / $7,020.48	Professional		$5,258.05	$6,999.98	$7,020.48
United Facility/Professional Professional Modifier Low / Median / High Price $3,316.10 / $4,303.62 / $6,115.00	Professional		$3,316.10	$4,303.62	$6,115.00