Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,428.35 / $3,428.35 / $3,630.02	Facility		$3,428.35	$3,428.35	$3,630.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,004.28 / $3,630.02 / $4,677.93	Professional		$3,004.28	$3,630.02	$4,677.93
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 $5,845.67 / $7,677.00 / $7,677.00	Professional		$5,845.67	$7,677.00	$7,677.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $7,677.00	Facility		$4,391.66	$4,391.66	$7,677.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $6,722.25	Professional		$3,732.91	$3,732.91	$6,722.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,062.84 / $7,677.00 / $14,586.30	Professional		$7,062.84	$7,677.00	$14,586.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,428.35 / $3,428.35 / $3,428.35	Facility		$3,428.35	$3,428.35	$3,428.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,004.28 / $3,630.02 / $5,289.35	Professional		$3,004.28	$3,630.02	$5,289.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,518.50 / $10,946.30 / $15,125.10	Professional		$9,518.50	$10,946.30	$15,125.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $7,677.00	Facility		$4,391.66	$4,391.66	$7,677.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $9,118.50	Professional		$3,732.91	$3,732.91	$9,118.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,488.73 / $7,307.09 / $7,307.09	Facility		$5,488.73	$7,307.09	$7,307.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,488.73 / $7,307.09 / $7,486.54	Professional		$5,488.73	$7,307.09	$7,486.54
United Facility/Professional Professional Modifier Low / Median / High Price $3,461.59 / $4,606.20 / $7,677.00	Professional		$3,461.59	$4,606.20	$7,677.00