Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,189.35 / $4,189.35 / $16,212.80	Facility		$4,189.35	$4,189.35	$16,212.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,144.71 / $4,442.75 / $5,480.53	Professional		$4,144.71	$4,442.75	$5,480.53
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 $7,143.27 / $9,381.12 / $9,381.12	Professional		$7,143.27	$9,381.12	$9,381.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $11,543.06	Facility		$6,553.03	$6,553.03	$11,543.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $4,783.71 / $10,586.05	Professional		$4,783.71	$4,783.71	$10,586.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11,122.40 / $12,089.57 / $22,970.18	Professional		$11,122.40	$12,089.57	$22,970.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,189.35 / $4,189.35 / $16,212.80	Facility		$4,189.35	$4,189.35	$16,212.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,107.22 / $4,600.08 / $6,895.81	Professional		$4,107.22	$4,600.08	$6,895.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,188.70 / $16,488.50 / $23,818.60	Professional		$8,188.70	$16,488.50	$23,818.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $11,543.06	Facility		$6,553.03	$6,553.03	$11,543.06
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $4,783.71 / $11,743.88	Professional		$4,783.71	$4,783.71	$11,743.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,482.78 / $4,482.78 / $8,929.09	Facility		$4,482.78	$4,482.78	$8,929.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,482.78 / $8,929.09 / $11,507.04	Professional		$4,482.78	$8,929.09	$11,507.04
United Facility/Professional Professional Modifier Low / Median / High Price $4,387.72 / $5,628.67 / $8,459.94	Professional		$4,387.72	$5,628.67	$8,459.94