Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,400.19 / $5,400.19 / $20,898.70	Facility		$5,400.19	$5,400.19	$20,898.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,684.10 / $5,717.85 / $7,546.26	Professional		$4,684.10	$5,717.85	$7,546.26
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 $9,207.86 / $12,092.50 / $12,092.50	Professional		$9,207.86	$12,092.50	$12,092.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $11,969.51	Facility		$8,121.18	$8,121.18	$11,969.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $14,554.13	Professional		$5,928.46	$5,928.46	$14,554.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11,011.95 / $11,969.51 / $22,742.07	Professional		$11,011.95	$11,969.51	$22,742.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,400.19 / $5,400.19 / $20,898.70	Facility		$5,400.19	$5,400.19	$20,898.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,684.10 / $5,717.85 / $8,088.86	Professional		$4,684.10	$5,717.85	$8,088.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8,107.40 / $16,324.80 / $23,582.10	Professional		$8,107.40	$16,324.80	$23,582.10
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $11,969.51	Facility		$8,121.18	$8,121.18	$11,969.51
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $14,554.13	Professional		$5,928.46	$5,928.46	$14,554.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,778.42 / $5,778.42 / $11,509.82	Facility		$5,778.42	$5,778.42	$11,509.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,778.42 / $11,509.82 / $11,740.02	Professional		$5,778.42	$11,509.82	$11,740.02
United Facility/Professional Professional Modifier Low / Median / High Price $5,655.92 / $7,013.39 / $10,565.47	Professional		$5,655.92	$7,013.39	$10,565.47