Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,488.64 / $10,208.10 / $12,045.60	Facility		$4,488.64	$10,208.10	$12,045.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,995.74 / $12,045.60 / $12,045.60	Professional		$3,995.74	$12,045.60	$12,045.60
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 $2,274.94 / $2,274.94 / $2,274.94	Professional		$2,274.94	$2,274.94	$2,274.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,767.85 / $4,308.43 / $9,678.37	Facility		$2,767.85	$4,308.43	$9,678.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,058.01 / $14,058.01 / $14,058.01	Professional		$14,058.01	$14,058.01	$14,058.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,062.43 / $3,937.41 / $7,204.00	Professional		$3,062.43	$3,937.41	$7,204.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7,930.82 / $12,045.60 / $12,045.60	Facility		$7,930.82	$12,045.60	$12,045.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,488.64 / $12,045.60 / $12,045.60	Professional		$4,488.64	$12,045.60	$12,045.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,316.57 / $4,374.89 / $5,833.20	Professional		$4,316.57	$4,374.89	$5,833.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,838.95 / $4,514.76 / $9,678.37	Facility		$2,838.95	$4,514.76	$9,678.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14,058.01 / $14,058.01 / $14,058.01	Professional		$14,058.01	$14,058.01	$14,058.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $3,208.26	Facility		$2,916.60	$2,916.60	$3,208.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $3,208.26	Professional		$2,916.60	$2,916.60	$3,208.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.96 / $1,749.96 / $3,499.92	Facility		$1,749.96	$1,749.96	$3,499.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,749.96 / $3,894.24	Professional		$1,224.97	$1,749.96	$3,894.24