Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,292.05 / $13,364.20 / $16,197.90	Facility		$3,292.05	$13,364.20	$16,197.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $3,137.13 / $3,292.05	Professional		$2,323.80	$3,137.13	$3,292.05
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 $3,020.94 / $3,020.94 / $3,020.94	Professional		$3,020.94	$3,020.94	$3,020.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,675.48 / $5,631.54 / $12,852.35	Facility		$3,675.48	$5,631.54	$12,852.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,667.86 / $18,667.86 / $18,667.86	Professional		$18,667.86	$18,667.86	$18,667.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,066.65 / $5,228.55 / $9,566.31	Professional		$4,066.65	$5,228.55	$9,566.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,989.19 / $10,995.40 / $15,995.50	Facility		$3,989.19	$10,995.40	$15,995.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,541.85 / $3,292.05 / $15,995.50	Professional		$2,541.85	$3,292.05	$15,995.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,732.04 / $5,809.50 / $7,746.00	Professional		$5,732.04	$5,809.50	$7,746.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,769.64 / $5,994.82 / $12,852.35	Facility		$3,769.64	$5,994.82	$12,852.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18,667.86 / $18,667.86 / $18,667.86	Professional		$18,667.86	$18,667.86	$18,667.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,260.30	Facility		$3,873.00	$3,873.00	$4,260.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,260.30	Professional		$3,873.00	$3,873.00	$4,260.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $2,323.80 / $4,647.60	Facility		$2,323.80	$2,323.80	$4,647.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,171.22	Professional		$1,626.66	$2,323.80	$5,171.22