Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,131.59 / $4,131.59 / $15,989.30	Facility		$4,131.59	$4,131.59	$15,989.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,134.64 / $4,374.63 / $5,101.50	Professional		$3,134.64	$4,374.63	$5,101.50
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 $7,044.77 / $9,251.75 / $9,251.75	Professional		$7,044.77	$9,251.75	$9,251.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $8,010.09	Facility		$6,541.83	$6,541.83	$8,010.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $7,013.91	Professional		$4,775.54	$4,775.54	$7,013.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,369.28 / $8,010.09 / $15,219.17	Professional		$7,369.28	$8,010.09	$15,219.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,131.59 / $4,131.59 / $15,989.30	Facility		$4,131.59	$4,131.59	$15,989.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,134.64 / $4,374.63 / $5,961.82	Professional		$3,134.64	$4,374.63	$5,961.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,425.50 / $10,924.70 / $15,781.30	Professional		$5,425.50	$10,924.70	$15,781.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $8,010.09	Facility		$6,541.83	$6,541.83	$8,010.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $11,723.63	Professional		$4,775.54	$4,775.54	$11,723.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,420.97 / $4,420.97 / $8,805.95	Facility		$4,420.97	$4,420.97	$8,805.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,420.97 / $8,805.95 / $8,982.08	Professional		$4,420.97	$8,805.95	$8,982.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,078.09 / $10,680.11 / $12,816.13	Facility		$9,078.09	$10,680.11	$12,816.13
United Facility/Professional Professional Modifier Low / Median / High Price $4,066.20 / $5,280.66 / $8,343.29	Professional		$4,066.20	$5,280.66	$8,343.29