Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.51 / $10,605.00 / $12,513.90	Facility		$4,000.51	$10,605.00	$12,513.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.90 / $2,454.30 / $2,575.50	Professional		$1,605.90	$2,454.30	$2,575.50
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,363.40 / $2,363.40 / $2,363.40	Professional		$2,363.40	$2,363.40	$2,363.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,875.47 / $4,151.92 / $10,055.43	Facility		$2,875.47	$4,151.92	$10,055.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,604.60 / $14,604.60 / $14,604.60	Professional		$14,604.60	$14,604.60	$14,604.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,181.50 / $4,090.50 / $7,484.10	Professional		$3,181.50	$4,090.50	$7,484.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,663.17 / $12,513.90 / $12,513.90	Facility		$4,663.17	$12,513.90	$12,513.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,988.59 / $2,575.50 / $12,513.90	Professional		$1,988.59	$2,575.50	$12,513.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,484.39 / $4,545.00 / $6,060.00	Professional		$4,484.39	$4,545.00	$6,060.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2,949.15 / $4,690.01 / $10,055.43	Facility		$2,949.15	$4,690.01	$10,055.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14,604.60 / $14,604.60 / $14,604.60	Professional		$14,604.60	$14,604.60	$14,604.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,333.00	Facility		$3,030.00	$3,030.00	$3,333.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,333.00	Professional		$3,030.00	$3,030.00	$3,333.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,818.00 / $4,045.66	Professional		$1,272.59	$1,818.00	$4,045.66