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 $2,716.99 / $2,980.97 / $3,896.96	Professional		$2,716.99	$2,980.97	$3,896.96
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 $2,899.23 / $3,008.63 / $3,008.63	Professional		$2,899.23	$3,008.63	$3,008.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,646.33 / $3,711.15 / $5,924.36	Professional		$2,646.33	$3,711.15	$5,924.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,431.67 / $4,552.18 / $4,561.67	Professional		$3,431.67	$4,552.18	$4,561.67
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 $2,678.92 / $3,039.42 / $7,197.00	Professional		$2,678.92	$3,039.42	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $3,159.00 / $7,534.40	Professional		$10.00	$3,159.00	$7,534.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,738.76 / $3,742.99 / $6,199.26	Professional		$2,738.76	$3,742.99	$6,199.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,879.19 / $2,879.19 / $2,889.49	Facility		$2,879.19	$2,879.19	$2,889.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,799.16 / $2,885.18 / $3,041.27	Professional		$2,799.16	$2,885.18	$3,041.27
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 $2,455.17 / $3,555.66 / $5,911.45	Professional		$2,455.17	$3,555.66	$5,911.45