Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.62 / $1,605.41 / $2,166.54	Professional		$1,486.62	$1,605.41	$2,166.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,480.74	Facility		$13,531.00	$27,840.00	$46,480.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,558.25 / $2,497.17 / $3,336.53	Professional		$1,558.25	$2,497.17	$3,336.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.98 / $2,297.46 / $3,795.94	Professional		$1,696.98	$2,297.46	$3,795.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,107.69 / $2,805.16 / $2,805.16	Professional		$2,107.69	$2,805.16	$2,805.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $996.06 / $4,761.00 / $8,247.00	Facility		$996.06	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,535.78 / $1,616.80 / $4,801.89	Professional		$1,535.78	$1,616.80	$4,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,396.40 / $4,481.60	Professional		$5.00	$2,396.40	$4,481.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,699.93 / $2,320.52 / $3,795.94	Professional		$1,699.93	$2,320.52	$3,795.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,727.70 / $1,727.70 / $1,825.99	Facility		$1,727.70	$1,727.70	$1,825.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,673.01 / $1,738.23 / $1,825.99	Professional		$1,673.01	$1,738.23	$1,825.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.58 / $2,165.42 / $3,615.57	Professional		$1,537.58	$2,165.42	$3,615.57