Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,826.33 / $20,392.20 / $30,083.00	Facility		$5,826.33	$20,392.20	$30,083.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,315.80 / $5,826.33 / $6,114.05	Professional		$4,315.80	$5,826.33	$6,114.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,330.79 / $32,164.22 / $48,888.66	Facility		$13,330.79	$32,164.22	$48,888.66
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,610.54 / $5,610.54 / $5,610.54	Professional		$5,610.54	$5,610.54	$5,610.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,826.16 / $10,625.74 / $23,869.43	Facility		$6,826.16	$10,625.74	$23,869.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,312.83 / $6,643.86 / $12,887.77	Professional		$3,312.83	$6,643.86	$12,887.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,279.84 / $9,710.54 / $13,666.70	Professional		$4,279.84	$9,710.54	$13,666.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,114.05 / $20,392.20 / $29,707.10	Facility		$6,114.05	$20,392.20	$29,707.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,720.77 / $5,898.26 / $29,707.10	Professional		$4,720.77	$5,898.26	$29,707.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10,645.64 / $10,789.50 / $14,386.00	Professional		$10,645.64	$10,789.50	$14,386.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7,001.20 / $11,966.81 / $23,869.43	Facility		$7,001.20	$11,966.81	$23,869.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,377.05 / $6,847.17 / $12,936.99	Professional		$3,377.05	$6,847.17	$12,936.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $7,912.30	Facility		$7,193.00	$7,193.00	$7,912.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $7,912.30	Professional		$7,193.00	$7,193.00	$7,912.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $3,021.06	Facility		$3,021.06	$3,021.06	$3,021.06
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $4,315.80 / $10,789.50	Professional		$3,021.06	$4,315.80	$10,789.50