Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,217.73 / $3,217.73 / $12,452.60	Facility		$3,217.73	$3,217.73	$12,452.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.79 / $3,407.01 / $4,544.72	Professional		$3,162.79	$3,407.01	$4,544.72
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 $5,486.54 / $7,205.37 / $7,205.37	Professional		$5,486.54	$7,205.37	$7,205.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $8,606.54	Facility		$4,938.58	$4,938.58	$8,606.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $3,605.16 / $7,536.18	Professional		$3,605.16	$3,605.16	$7,536.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,918.02 / $8,606.54 / $16,352.43	Professional		$7,918.02	$8,606.54	$16,352.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,217.73 / $3,217.73 / $12,452.60	Facility		$3,217.73	$3,217.73	$12,452.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,154.64 / $3,533.19 / $5,426.05	Professional		$3,154.64	$3,533.19	$5,426.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,829.60 / $11,738.20 / $16,956.40	Professional		$5,829.60	$11,738.20	$16,956.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $8,606.54	Facility		$4,938.58	$4,938.58	$8,606.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $3,605.16 / $8,850.37	Professional		$3,605.16	$3,605.16	$8,850.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,443.08 / $3,443.08 / $6,858.18	Facility		$3,443.08	$3,443.08	$6,858.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,443.08 / $6,858.18 / $8,191.83	Professional		$3,443.08	$6,858.18	$8,191.83
United Facility/Professional Professional Modifier Low / Median / High Price $3,370.09 / $4,323.22 / $6,595.45	Professional		$3,370.09	$4,323.22	$6,595.45