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 $1,789.18 / $2,052.46 / $2,718.20	Professional		$1,789.18	$2,052.46	$2,718.20
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 $1,776.04 / $2,852.91 / $3,925.22	Professional		$1,776.04	$2,852.91	$3,925.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.34 / $2,692.10 / $4,409.10	Professional		$1,961.34	$2,692.10	$4,409.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,418.78 / $3,241.18 / $3,241.18	Professional		$2,418.78	$3,241.18	$3,241.18
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 $1,789.18 / $2,092.69 / $5,219.47	Professional		$1,789.18	$2,092.69	$5,219.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,595.00 / $5,014.80	Professional		$15.00	$3,595.00	$5,014.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.70 / $2,766.94 / $4,658.95	Professional		$2,000.70	$2,766.94	$4,658.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,804.07 / $1,973.82 / $2,028.58	Facility		$1,804.07	$1,973.82	$2,028.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,804.07 / $2,010.11 / $2,068.92	Professional		$1,804.07	$2,010.11	$2,068.92
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 $1,858.23 / $2,573.37 / $4,234.89	Professional		$1,858.23	$2,573.37	$4,234.89