Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.28 / $8,569.95 / $10,240.50	Facility		$2,081.28	$8,569.95	$10,240.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,983.33 / $2,081.28	Professional		$1,469.14	$1,983.33	$2,081.28
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,909.88 / $1,909.88 / $1,909.88	Professional		$1,909.88	$1,909.88	$1,909.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.31 / $3,183.12 / $8,125.62	Facility		$1,639.31	$3,183.12	$8,125.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,802.06 / $11,802.06 / $11,802.06	Professional		$11,802.06	$11,802.06	$11,802.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.98 / $3,305.56 / $6,047.94	Professional		$2,570.98	$3,305.56	$6,047.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,726.48 / $8,448.99 / $10,240.50	Facility		$2,726.48	$8,448.99	$10,240.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,606.99 / $2,081.28 / $10,112.60	Professional		$1,606.99	$2,081.28	$10,112.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,623.87 / $3,672.84 / $4,897.12	Professional		$3,623.87	$3,672.84	$4,897.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,639.31 / $3,183.12 / $8,125.62	Facility		$1,639.31	$3,183.12	$8,125.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $11,802.06 / $11,802.06 / $11,802.06	Professional		$11,802.06	$11,802.06	$11,802.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Facility		$2,448.56	$2,448.56	$2,448.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Professional		$2,448.56	$2,448.56	$2,448.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $3,427.98	Professional		$1,028.40	$1,469.14	$3,427.98