Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,567.68 / $6,567.68 / $25,416.90	Facility		$6,567.68	$6,567.68	$25,416.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,609.85 / $6,954.02 / $9,037.68	Professional		$5,609.85	$6,954.02	$9,037.68
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 $11,198.54 / $14,706.82 / $14,706.82	Professional		$11,198.54	$14,706.82	$14,706.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $14,335.11	Facility		$9,418.01	$9,418.01	$14,335.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $12,552.33	Professional		$6,875.15	$6,875.15	$12,552.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13,188.30 / $14,335.11 / $27,236.71	Professional		$13,188.30	$14,335.11	$27,236.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,567.68 / $6,567.68 / $25,416.90	Facility		$6,567.68	$6,567.68	$25,416.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,609.85 / $6,954.02 / $9,687.51	Professional		$5,609.85	$6,954.02	$9,687.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,709.70 / $19,551.20 / $28,242.70	Professional		$9,709.70	$19,551.20	$28,242.70
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $14,335.11	Facility		$9,418.01	$9,418.01	$14,335.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $16,878.38	Professional		$6,875.15	$6,875.15	$16,878.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,027.66 / $7,027.66 / $13,998.18	Facility		$7,027.66	$7,027.66	$13,998.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,027.66 / $13,857.41 / $13,998.18	Professional		$7,027.66	$13,857.41	$13,998.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $6,878.67 / $8,844.00 / $13,262.70	Professional		$6,878.67	$8,844.00	$13,262.70