Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,142.82 / $3,142.82 / $12,162.70	Facility		$3,142.82	$3,142.82	$12,162.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.08 / $3,327.70 / $4,436.93	Professional		$2,754.08	$3,327.70	$4,436.93
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 $5,358.82 / $7,037.63 / $7,037.63	Professional		$5,358.82	$7,037.63	$7,037.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $7,037.63	Facility		$4,697.47	$4,697.47	$7,037.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $8,418.37	Professional		$3,429.16	$3,429.16	$8,418.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,474.62 / $7,037.63 / $13,371.50	Professional		$6,474.62	$7,037.63	$13,371.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,142.82 / $3,142.82 / $12,162.70	Facility		$3,142.82	$3,142.82	$12,162.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,754.08 / $3,450.94 / $5,283.83	Professional		$2,754.08	$3,450.94	$5,283.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,766.89 / $9,598.40 / $13,865.40	Professional		$4,766.89	$9,598.40	$13,865.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $7,037.63	Facility		$4,697.47	$4,697.47	$7,037.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $8,418.37	Professional		$3,429.16	$3,429.16	$8,418.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,362.94 / $3,362.94 / $6,698.53	Facility		$3,362.94	$3,362.94	$6,698.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,362.94 / $6,698.53 / $6,832.50	Professional		$3,362.94	$6,698.53	$6,832.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,304.90 / $4,222.58 / $6,346.58	Professional		$3,304.90	$4,222.58	$6,346.58