Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,839.00 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.15 / $1,830.79 / $2,379.81	Professional		$1,697.15	$1,830.79	$2,379.81
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 $1,771.14 / $2,843.11 / $3,818.76	Professional		$1,771.14	$2,843.11	$3,818.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.97 / $2,614.13 / $4,321.71	Professional		$1,919.97	$2,614.13	$4,321.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.58 / $3,184.54 / $3,184.54	Professional		$2,392.58	$3,184.54	$3,184.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,697.15 / $1,842.05 / $3,467.09	Professional		$1,697.15	$1,842.05	$3,467.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,713.22 / $5,096.80	Professional		$5.00	$2,713.22	$5,096.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.25 / $2,628.39 / $4,321.71	Professional		$1,934.25	$2,628.39	$4,321.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.95 / $1,967.99 / $1,967.99	Facility		$1,949.95	$1,967.99	$1,967.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,903.99 / $1,967.99 / $2,075.77	Professional		$1,903.99	$1,967.99	$2,075.77
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 $1,864.10 / $2,589.06 / $4,359.49	Professional		$1,864.10	$2,589.06	$4,359.49