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 $2,764.29 / $3,170.25 / $3,972.82	Professional		$2,764.29	$3,170.25	$3,972.82
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 $2,833.59 / $2,940.52 / $2,940.52	Professional		$2,833.59	$2,940.52	$2,940.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,744.17 / $3,616.41 / $5,674.77	Professional		$2,744.17	$3,616.41	$5,674.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.51 / $4,322.51 / $4,559.10	Professional		$4,322.51	$4,322.51	$4,559.10
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 $2,492.54 / $3,394.71 / $6,816.80	Professional		$2,492.54	$3,394.71	$6,816.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,867.00 / $7,023.30	Professional		$20.00	$3,867.00	$7,023.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.86 / $3,662.44 / $5,674.77	Professional		$2,806.86	$3,662.44	$5,674.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,372.94 / $2,779.00 / $2,779.00	Facility		$2,372.94	$2,779.00	$2,779.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,372.94 / $2,779.00 / $2,909.38	Professional		$2,372.94	$2,779.00	$2,909.38
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,560.23 / $3,559.90 / $5,828.45	Professional		$2,560.23	$3,559.90	$5,828.45