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 $2,073.10 / $2,400.00 / $3,179.25	Professional		$2,073.10	$2,400.00	$3,179.25
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 $2,354.36 / $2,443.19 / $2,443.19	Professional		$2,354.36	$2,443.19	$2,443.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.73 / $3,042.07 / $4,892.85	Professional		$2,154.73	$3,042.07	$4,892.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,827.85 / $3,789.68 / $3,789.68	Professional		$2,827.85	$3,789.68	$3,789.68
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 $2,073.10 / $2,447.06 / $6,098.66	Professional		$2,073.10	$2,447.06	$6,098.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,163.80 / $5,858.30	Professional		$15.00	$2,163.80	$5,858.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,221.09 / $3,081.19 / $5,118.42	Professional		$2,221.09	$3,081.19	$5,118.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,834.04 / $2,307.94 / $2,307.94	Facility		$1,834.04	$2,307.94	$2,307.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,834.04 / $2,307.94 / $2,418.40	Professional		$1,834.04	$2,307.94	$2,418.40
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 $2,005.42 / $2,918.26 / $4,828.55	Professional		$2,005.42	$2,918.26	$4,828.55