Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,618.50 / $12,529.80 / $12,529.80	Facility		$10,618.50	$12,529.80	$12,529.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.95 / $2,427.09 / $2,578.78	Professional		$1,607.95	$2,427.09	$2,578.78
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,366.41 / $2,366.41 / $2,366.41	Professional		$2,366.41	$2,366.41	$2,366.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,640.63 / $3,640.63 / $5,047.35	Facility		$3,640.63	$3,640.63	$5,047.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,623.21 / $14,623.21 / $14,623.21	Professional		$14,623.21	$14,623.21	$14,623.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,185.55 / $4,095.71 / $7,493.63	Professional		$3,185.55	$4,095.71	$7,493.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12,529.80 / $12,529.80 / $12,529.80	Facility		$12,529.80	$12,529.80	$12,529.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,820.32 / $2,457.42 / $12,529.80	Professional		$1,820.32	$2,457.42	$12,529.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,490.10 / $4,550.79 / $6,067.72	Professional		$4,490.10	$4,550.79	$6,067.72
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,640.63 / $3,640.63 / $5,047.35	Facility		$3,640.63	$3,640.63	$5,047.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14,623.21 / $14,623.21 / $14,623.21	Professional		$14,623.21	$14,623.21	$14,623.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $3,033.86	Professional		$3,033.86	$3,033.86	$3,033.86
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.22 / $1,820.32 / $4,247.39	Professional		$1,274.22	$1,820.32	$4,247.39