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 $2,569.54 / $2,838.33 / $4,236.13	Professional		$2,569.54	$2,838.33	$4,236.13
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 $2,767.91 / $2,872.36 / $2,872.36	Professional		$2,767.91	$2,872.36	$2,872.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,464.08 / $3,525.18 / $5,635.32	Professional		$2,464.08	$3,525.18	$5,635.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,273.01 / $4,341.47 / $4,348.06	Professional		$3,273.01	$4,341.47	$4,348.06
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 $2,569.54 / $2,893.99 / $6,946.49	Professional		$2,569.54	$2,893.99	$6,946.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,711.10 / $7,158.10	Professional		$10.00	$2,711.10	$7,158.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,611.23 / $3,542.35 / $5,923.01	Professional		$2,611.23	$3,542.35	$5,923.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,743.95 / $2,743.95 / $2,758.21	Facility		$2,743.95	$2,743.95	$2,758.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,666.81 / $2,750.92 / $2,896.18	Professional		$2,666.81	$2,750.92	$2,896.18
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 $2,331.46 / $3,337.20 / $5,613.62	Professional		$2,331.46	$3,337.20	$5,613.62