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 $2,084.75 / $2,534.64 / $2,960.97	Professional		$2,084.75	$2,534.64	$2,960.97
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 $2,111.41 / $2,191.09 / $2,191.09	Professional		$2,111.41	$2,191.09	$2,191.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,063.31 / $2,706.26 / $4,232.27	Professional		$2,063.31	$2,706.26	$4,232.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,219.67 / $3,219.67 / $3,396.56	Professional		$3,219.67	$3,219.67	$3,396.56
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 $1,857.23 / $2,567.71 / $5,446.34	Professional		$1,857.23	$2,567.71	$5,446.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,803.80 / $5,242.60	Professional		$20.00	$3,803.80	$5,242.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.51 / $2,730.96 / $4,232.27	Professional		$2,108.51	$2,730.96	$4,232.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,071.01 / $2,071.01 / $2,725.27	Facility		$2,071.01	$2,071.01	$2,725.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,978.07 / $2,111.29 / $2,725.27	Professional		$1,978.07	$2,111.29	$2,725.27
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 $1,991.27 / $2,668.29 / $4,250.13	Professional		$1,991.27	$2,668.29	$4,250.13