Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,833.27 / $3,833.27 / $4,058.76	Facility		$3,833.27	$3,833.27	$4,058.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,293.55 / $4,058.76 / $4,942.43	Professional		$3,293.55	$4,058.76	$4,942.43
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 $6,536.10 / $8,583.73 / $8,583.73	Professional		$6,536.10	$8,583.73	$8,583.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $8,416.18	Facility		$4,751.45	$4,751.45	$8,416.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,038.73 / $7,369.50	Professional		$4,038.73	$4,038.73	$7,369.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,742.89 / $8,416.18 / $15,990.74	Professional		$7,742.89	$8,416.18	$15,990.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,833.27 / $3,833.27 / $3,833.27	Facility		$3,833.27	$3,833.27	$3,833.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,293.55 / $4,058.76 / $5,592.36	Professional		$3,293.55	$4,058.76	$5,592.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10,435.00 / $12,000.30 / $16,581.40	Professional		$10,435.00	$12,000.30	$16,581.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $8,416.18	Facility		$4,751.45	$4,751.45	$8,416.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,038.73 / $9,984.75	Professional		$4,038.73	$4,038.73	$9,984.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,137.03 / $8,170.13 / $8,170.13	Facility		$6,137.03	$8,170.13	$8,170.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,137.03 / $8,170.13 / $8,197.66	Professional		$6,137.03	$8,170.13	$8,197.66
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.45 / $4,836.77 / $7,499.79	Professional		$3,870.45	$4,836.77	$7,499.79