Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,292.50 / $5,292.50 / $20,482.00	Facility		$5,292.50	$5,292.50	$20,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,981.76 / $5,603.82 / $7,195.60	Professional		$4,981.76	$5,603.82	$7,195.60
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 $9,024.23 / $11,851.35 / $11,851.35	Professional		$9,024.23	$11,851.35	$11,851.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $13,556.26	Facility		$8,732.85	$8,732.85	$13,556.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $6,374.98 / $11,870.34	Professional		$6,374.98	$6,374.98	$11,870.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12,471.76 / $13,556.26 / $25,756.89	Professional		$12,471.76	$13,556.26	$25,756.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,292.50 / $5,292.50 / $20,482.00	Facility		$5,292.50	$5,292.50	$20,482.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,981.76 / $5,603.82 / $8,546.64	Professional		$4,981.76	$5,603.82	$8,546.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9,182.20 / $18,488.90 / $26,708.30	Professional		$9,182.20	$18,488.90	$26,708.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $13,556.26	Facility		$8,732.85	$8,732.85	$13,556.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $6,374.98 / $15,650.25	Professional		$6,374.98	$6,374.98	$15,650.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,663.18 / $5,663.18 / $11,280.29	Facility		$5,663.18	$5,663.18	$11,280.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,663.18 / $11,280.29 / $12,903.06	Professional		$5,663.18	$11,280.29	$12,903.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $5,534.64 / $7,110.81 / $10,687.62	Professional		$5,534.64	$7,110.81	$10,687.62