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 / $8,113.00	Facility		$1,020.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,908.83 / $2,124.44 / $2,769.24	Professional		$1,908.83	$2,124.44	$2,769.24
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 $2,066.33 / $2,144.31 / $2,144.31	Professional		$2,066.33	$2,144.31	$2,144.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,868.70 / $2,631.64 / $4,240.07	Professional		$1,868.70	$2,631.64	$4,240.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.54 / $3,258.66 / $3,278.61	Professional		$2,456.54	$3,258.66	$3,278.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,885.80 / $2,166.11 / $5,587.53	Professional		$1,885.80	$2,166.11	$5,587.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,017.30 / $5,421.60	Professional		$6.00	$2,017.30	$5,421.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.37 / $2,671.28 / $4,383.10	Professional		$1,949.37	$2,671.28	$4,383.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,035.65 / $2,050.48 / $2,050.48	Facility		$2,035.65	$2,050.48	$2,050.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,997.48 / $2,050.48 / $2,173.57	Professional		$1,997.48	$2,050.48	$2,173.57
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 $1,730.48 / $2,530.86 / $4,431.16	Professional		$1,730.48	$2,530.86	$4,431.16