Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,408.78 / $4,668.12 / $33,517.12	Facility		$4,408.78	$4,668.12	$33,517.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,847.45 / $4,668.12 / $6,198.38	Professional		$3,847.45	$4,668.12	$6,198.38
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 $7,517.41 / $9,872.46 / $9,872.46	Professional		$7,517.41	$9,872.46	$9,872.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $9,831.56	Facility		$5,687.89	$5,687.89	$9,831.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $4,834.71 / $8,608.86	Professional		$4,834.71	$4,834.71	$8,608.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,045.04 / $9,831.56 / $18,679.96	Professional		$9,045.04	$9,831.56	$18,679.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,408.78 / $33,517.12 / $33,517.12	Facility		$4,408.78	$33,517.12	$33,517.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,847.45 / $4,841.02 / $6,840.01	Professional		$3,847.45	$4,841.02	$6,840.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15,926.40 / $19,369.90 / $19,369.90	Professional		$15,926.40	$19,369.90	$19,369.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $9,831.56	Facility		$5,687.89	$5,687.89	$9,831.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $4,834.71 / $11,992.13	Professional		$4,834.71	$4,834.71	$11,992.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,186.02 / $9,396.76 / $9,396.76	Facility		$7,186.02	$9,396.76	$9,396.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,186.02 / $9,396.76 / $9,845.73	Professional		$7,186.02	$9,396.76	$9,845.73
United Facility/Professional Professional Modifier Low / Median / High Price $4,636.14 / $5,795.18 / $9,272.28	Professional		$4,636.14	$5,795.18	$9,272.28