Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,972.59 / $6,972.59 / $26,983.90	Facility		$6,972.59	$6,972.59	$26,983.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,657.96 / $7,382.75 / $9,479.98	Professional		$5,657.96	$7,382.75	$9,479.98
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 $11,888.95 / $15,613.52 / $15,613.52	Professional		$11,888.95	$15,613.52	$15,613.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $14,458.04	Facility		$9,907.40	$9,907.40	$14,458.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $12,659.97	Professional		$7,232.40	$7,232.40	$12,659.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13,301.40 / $14,458.04 / $27,470.28	Professional		$13,301.40	$14,458.04	$27,470.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,972.59 / $6,972.59 / $26,983.90	Facility		$6,972.59	$6,972.59	$26,983.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,657.96 / $7,382.75 / $10,057.12	Professional		$5,657.96	$7,382.75	$10,057.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,793.00 / $19,718.80 / $28,484.90	Professional		$9,793.00	$19,718.80	$28,484.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $14,458.04	Facility		$9,907.40	$9,907.40	$14,458.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $17,755.13	Professional		$7,232.40	$7,232.40	$17,755.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,460.94 / $7,460.94 / $14,861.19	Facility		$7,460.94	$7,460.94	$14,861.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,460.94 / $14,577.46 / $14,861.19	Professional		$7,460.94	$14,577.46	$14,861.19
United Facility/Professional Professional Modifier Low / Median / High Price $7,040.20 / $8,579.78 / $13,380.59	Professional		$7,040.20	$8,579.78	$13,380.59