Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,095.55 / $5,095.55 / $19,719.80	Facility		$5,095.55	$5,095.55	$19,719.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,368.88 / $5,395.29 / $7,020.40	Professional		$4,368.88	$5,395.29	$7,020.40
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 $8,688.41 / $11,410.31 / $11,410.31	Professional		$8,688.41	$11,410.31	$11,410.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $11,164.01	Facility		$8,136.27	$8,136.27	$11,164.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $9,775.59	Professional		$5,939.48	$5,939.48	$9,775.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10,270.89 / $11,164.01 / $21,211.62	Professional		$10,270.89	$11,164.01	$21,211.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,095.55 / $5,095.55 / $19,719.80	Facility		$5,095.55	$5,095.55	$19,719.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,368.88 / $5,395.29 / $7,182.89	Professional		$4,368.88	$5,395.29	$7,182.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,561.90 / $15,226.20 / $21,995.10	Professional		$7,561.90	$15,226.20	$21,995.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $11,164.01	Facility		$8,136.27	$8,136.27	$11,164.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $14,581.13	Professional		$5,939.48	$5,939.48	$14,581.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,452.44 / $5,452.44 / $10,860.51	Facility		$5,452.44	$5,452.44	$10,860.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,452.44 / $10,860.51 / $11,077.72	Professional		$5,452.44	$10,860.51	$11,077.72
United Facility/Professional Professional Modifier Low / Median / High Price $5,253.60 / $6,846.19 / $9,745.76	Professional		$5,253.60	$6,846.19	$9,745.76