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 $2,917.73 / $3,479.31 / $4,507.29	Professional		$2,917.73	$3,479.31	$4,507.29
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 $3,156.35 / $3,275.46 / $3,275.46	Professional		$3,156.35	$3,275.46	$3,275.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,121.65 / $4,046.68 / $6,369.07	Professional		$3,121.65	$4,046.68	$6,369.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,808.13 / $4,808.13 / $5,044.91	Professional		$4,808.13	$4,808.13	$5,044.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,451.00	Facility		$1,013.00	$5,342.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,917.73 / $3,524.38 / $7,799.00	Professional		$2,917.73	$3,524.38	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $4,288.70 / $7,867.70	Professional		$20.00	$4,288.70	$7,867.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,173.85 / $4,103.13 / $6,369.07	Professional		$3,173.85	$4,103.13	$6,369.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,100.32 / $3,100.32 / $3,342.66	Facility		$3,100.32	$3,100.32	$3,342.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,964.75 / $3,157.18 / $3,342.66	Professional		$2,964.75	$3,157.18	$3,342.66
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 $2,939.96 / $4,007.13 / $6,631.47	Professional		$2,939.96	$4,007.13	$6,631.47