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 $1,819.32 / $2,186.75 / $2,979.07	Professional		$1,819.32	$2,186.75	$2,979.07
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 $1,994.67 / $2,069.94 / $2,069.94	Professional		$1,994.67	$2,069.94	$2,069.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.70 / $2,540.37 / $4,000.14	Professional		$1,929.70	$2,540.37	$4,000.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,043.46 / $3,043.46 / $3,195.53	Professional		$3,043.46	$3,043.46	$3,195.53
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 $1,759.45 / $2,405.19 / $7,143.44	Professional		$1,759.45	$2,405.19	$7,143.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,367.00 / $4,955.50	Professional		$20.00	$3,367.00	$4,955.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.85 / $2,584.15 / $4,000.14	Professional		$1,975.85	$2,584.15	$4,000.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,954.46 / $1,954.46 / $2,464.69	Facility		$1,954.46	$1,954.46	$2,464.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,868.60 / $1,990.65 / $2,464.69	Professional		$1,868.60	$1,990.65	$2,464.69
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 $1,880.08 / $2,473.19 / $4,024.20	Professional		$1,880.08	$2,473.19	$4,024.20