Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,451.00	Facility		$1,301.00	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,611.69 / $3,561.19 / $4,697.00	Professional		$2,611.69	$3,561.19	$4,697.00
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 $3,474.84 / $3,605.97 / $3,605.97	Professional		$3,474.84	$3,605.97	$3,605.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,836.61 / $13,567.30 / $16,255.16	Professional		$12,836.61	$13,567.30	$16,255.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,151.29 / $5,555.91 / $5,555.91	Professional		$4,151.29	$5,555.91	$5,555.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $9,534.00	Facility		$1,013.00	$4,761.00	$9,534.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,611.69 / $3,631.02 / $7,197.00	Professional		$2,611.69	$3,631.02	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,463.00 / $8,659.70	Professional		$20.00	$3,463.00	$8,659.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12,836.61 / $13,567.30 / $16,255.16	Professional		$12,836.61	$13,567.30	$16,255.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,862.88 / $3,411.65 / $3,411.65	Facility		$2,862.88	$3,411.65	$3,411.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,862.88 / $3,411.65 / $3,568.53	Professional		$2,862.88	$3,411.65	$3,568.53
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 $2,650.45 / $4,064.91 / $7,197.96	Professional		$2,650.45	$4,064.91	$7,197.96