Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,486.92 / $4,486.92 / $4,750.85	Facility		$4,486.92	$4,486.92	$4,750.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,863.98 / $4,750.85 / $5,850.98	Professional		$3,863.98	$4,750.85	$5,850.98
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 $7,650.65 / $10,047.45 / $10,047.45	Professional		$7,650.65	$10,047.45	$10,047.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $9,873.81	Facility		$7,957.05	$7,957.05	$9,873.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $8,645.85	Professional		$6,763.49	$6,763.49	$8,645.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,083.91 / $9,873.81 / $18,760.24	Professional		$9,083.91	$9,873.81	$18,760.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,486.92 / $4,486.92 / $4,486.92	Facility		$4,486.92	$4,486.92	$4,486.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,863.98 / $4,750.85 / $6,606.46	Professional		$3,863.98	$4,750.85	$6,606.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,687.90 / $13,466.50 / $19,453.20	Professional		$6,687.90	$13,466.50	$19,453.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $9,873.81	Facility		$7,957.05	$7,957.05	$9,873.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $11,763.75	Professional		$6,763.49	$6,763.49	$11,763.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,183.51 / $9,563.31 / $9,563.31	Facility		$7,183.51	$9,563.31	$9,563.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,183.51 / $9,563.31 / $9,658.19	Professional		$7,183.51	$9,563.31	$9,658.19
United Facility/Professional Facility Modifier Low / Median / High Price $10,147.53 / $11,938.27 / $14,325.92	Facility		$10,147.53	$11,938.27	$14,325.92
United Facility/Professional Professional Modifier Low / Median / High Price $4,530.43 / $5,597.35 / $8,778.66	Professional		$4,530.43	$5,597.35	$8,778.66