Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,504.77 / $4,906.96 / $4,906.96	Facility		$4,504.77	$4,906.96	$4,906.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,171.09 / $4,671.62 / $6,277.70	Professional		$4,171.09	$4,671.62	$6,277.70
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 $12,482.74 / $16,717.95 / $16,717.95	Professional		$12,482.74	$16,717.95	$16,717.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $7,551.49	Facility		$7,551.49	$7,551.49	$7,551.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $6,418.77 / $9,742.50	Professional		$6,418.77	$6,418.77	$9,742.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,906.96 / $4,906.96 / $4,906.96	Facility		$4,906.96	$4,906.96	$4,906.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,171.09 / $4,671.62 / $7,007.78	Professional		$4,171.09	$4,671.62	$7,007.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24,862.10 / $26,105.20 / $28,591.40	Professional		$24,862.10	$26,105.20	$28,591.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $7,551.49	Facility		$7,551.49	$7,551.49	$7,551.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $6,418.77 / $9,742.50	Professional		$6,418.77	$6,418.77	$9,742.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14,396.01 / $14,396.01 / $14,396.01	Facility		$14,396.01	$14,396.01	$14,396.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14,396.01 / $14,396.01 / $14,396.01	Professional		$14,396.01	$14,396.01	$14,396.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,141.93 / $8,467.58 / $14,272.59	Professional		$5,141.93	$8,467.58	$14,272.59