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 $2,193.29 / $2,439.37 / $3,184.15	Professional		$2,193.29	$2,439.37	$3,184.15
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 $2,374.03 / $2,463.62 / $2,463.62	Professional		$2,374.03	$2,463.62	$2,463.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.08 / $3,040.35 / $4,859.29	Professional		$2,191.08	$3,040.35	$4,859.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,816.49 / $3,735.97 / $3,752.80	Professional		$2,816.49	$3,735.97	$3,752.80
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 $2,173.19 / $2,487.19 / $6,393.32	Professional		$2,173.19	$2,487.19	$6,393.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,669.70 / $6,197.90	Professional		$10.00	$2,669.70	$6,197.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.96 / $3,053.83 / $5,034.88	Professional		$2,260.96	$3,053.83	$5,034.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,355.27 / $2,355.27 / $2,361.29	Facility		$2,355.27	$2,355.27	$2,361.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,292.46 / $2,357.61 / $2,492.66	Professional		$2,292.46	$2,357.61	$2,492.66
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,992.98 / $2,910.08 / $4,961.56	Professional		$1,992.98	$2,910.08	$4,961.56