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 $2,378.69 / $3,440.95 / $4,324.60	Professional		$2,378.69	$3,440.95	$4,324.60
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 $3,080.44 / $3,196.69 / $3,196.69	Professional		$3,080.44	$3,196.69	$3,196.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.49 / $3,771.15 / $6,225.15	Professional		$2,800.49	$3,771.15	$6,225.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.20 / $4,686.20 / $4,922.52	Professional		$4,686.20	$4,686.20	$4,922.52
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 $2,225.25 / $3,719.40 / $7,458.26	Professional		$2,225.25	$3,719.40	$7,458.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $4,203.39 / $7,670.00	Professional		$20.00	$4,203.39	$7,670.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,903.94 / $3,771.15 / $6,225.15	Professional		$2,903.94	$3,771.15	$6,225.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,027.06 / $3,027.06 / $3,154.93	Facility		$3,027.06	$3,027.06	$3,154.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,893.73 / $3,083.82 / $3,163.73	Professional		$2,893.73	$3,083.82	$3,163.73
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 $2,640.60 / $3,541.86 / $6,244.30	Professional		$2,640.60	$3,541.86	$6,244.30