Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,083.32 / $21,083.32 / $81,592.39	Facility		$21,083.32	$21,083.32	$81,592.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,475.48 / $22,323.51 / $28,767.88	Professional		$18,475.48	$22,323.51	$28,767.88
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 $35,949.12 / $47,211.27 / $47,211.27	Professional		$35,949.12	$47,211.27	$47,211.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $31,290.51 / $47,211.27	Facility		$31,290.51	$31,290.51	$47,211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $22,842.07 / $41,339.83	Professional		$22,842.07	$22,842.07	$41,339.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43,434.37 / $47,211.27 / $89,701.41	Professional		$43,434.37	$47,211.27	$89,701.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21,083.32 / $21,083.32 / $81,592.39	Facility		$21,083.32	$21,083.32	$81,592.39
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18,475.48 / $22,323.51 / $32,527.80	Professional		$18,475.48	$22,323.51	$32,527.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58,536.20 / $67,316.60 / $93,014.60	Professional		$58,536.20	$67,316.60	$93,014.60
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $31,290.51 / $47,211.27	Facility		$31,290.51	$31,290.51	$47,211.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $22,842.07 / $56,076.38	Professional		$22,842.07	$22,842.07	$56,076.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33,754.11 / $44,936.41 / $44,936.41	Facility		$33,754.11	$44,936.41	$44,936.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33,754.11 / $44,936.41 / $46,040.03	Professional		$33,754.11	$44,936.41	$46,040.03
United Facility/Professional Professional Modifier Low / Median / High Price $21,557.44 / $26,301.06 / $41,249.48	Professional		$21,557.44	$26,301.06	$41,249.48