Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.00 / $4,304.00 / $8,240.00	Facility		$1,416.00	$4,304.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.66 / $2,353.91 / $3,293.22	Professional		$2,050.66	$2,353.91	$3,293.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,058.35 / $6,182.00 / $17,094.48	Facility		$5,058.35	$6,182.00	$17,094.48
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,685.25 / $2,786.58 / $2,786.58	Professional		$2,685.25	$2,786.58	$2,786.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.05 / $2,913.24 / $5,400.31	Professional		$2,309.05	$2,913.24	$5,400.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,202.74 / $4,117.81 / $4,262.66	Professional		$3,202.74	$4,117.81	$4,262.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,761.00 / $8,247.00	Facility		$1,020.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,050.66 / $2,555.44 / $6,862.00	Professional		$2,050.66	$2,555.44	$6,862.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,909.00 / $2,909.00 / $3,047.40	Professional		$2,909.00	$2,909.00	$3,047.40
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $3,036.35 / $3,036.35 / $3,036.35	Facility		$3,036.35	$3,036.35	$3,036.35
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.81 / $2,936.93 / $5,408.46	Professional		$2,345.81	$2,936.93	$5,408.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,628.80 / $2,629.60 / $2,629.60	Facility		$2,628.80	$2,629.60	$2,629.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,628.80 / $2,629.60 / $2,776.00	Professional		$2,628.80	$2,629.60	$2,776.00
United Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,734.00 / $4,300.00	Facility		$637.00	$1,734.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,292.08 / $2,893.26 / $5,160.18	Professional		$2,292.08	$2,893.26	$5,160.18