Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,699.27 / $5,699.27 / $22,056.20	Facility		$5,699.27	$5,699.27	$22,056.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,898.24 / $6,034.52 / $7,891.24	Professional		$4,898.24	$6,034.52	$7,891.24
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 $9,717.82 / $12,762.21 / $12,762.21	Professional		$9,717.82	$12,762.21	$12,762.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $12,516.70	Facility		$9,077.06	$9,077.06	$12,516.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $6,626.25 / $10,960.06	Professional		$6,626.25	$6,626.25	$10,960.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11,515.36 / $12,516.70 / $23,781.73	Professional		$11,515.36	$12,516.70	$23,781.73
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,699.27 / $5,699.27 / $22,056.20	Facility		$5,699.27	$5,699.27	$22,056.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,898.24 / $6,034.52 / $8,279.18	Professional		$4,898.24	$6,034.52	$8,279.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,478.00 / $17,071.09 / $24,660.10	Professional		$8,478.00	$17,071.09	$24,660.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $12,516.70	Facility		$9,077.06	$9,077.06	$12,516.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $6,626.25 / $16,267.13	Professional		$6,626.25	$6,626.25	$16,267.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,098.44 / $6,098.44 / $12,147.27	Facility		$6,098.44	$6,098.44	$12,147.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,098.44 / $12,147.27 / $12,390.22	Professional		$6,098.44	$12,147.27	$12,390.22
United Facility/Professional Professional Modifier Low / Median / High Price $5,959.00 / $7,270.14 / $11,338.24	Professional		$5,959.00	$7,270.14	$11,338.24