Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,034.86 / $8,247.00	Facility		$1,020.00	$4,034.86	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,180.29 / $3,721.36 / $4,952.81	Professional		$3,180.29	$3,721.36	$4,952.81
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 $2,938.99 / $4,837.55 / $6,038.19	Professional		$2,938.99	$4,837.55	$6,038.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,293.00 / $4,493.70 / $6,941.30	Professional		$3,293.00	$4,493.70	$6,941.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,066.75 / $5,066.75 / $5,323.68	Professional		$5,066.75	$5,066.75	$5,323.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,948.93 / $3,687.60 / $8,069.72	Professional		$2,948.93	$3,687.60	$8,069.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $8,296.10	Professional		$25.00	$25.00	$8,296.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,534.45 / $4,594.79 / $7,219.08	Professional		$3,534.45	$4,594.79	$7,219.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,274.20 / $3,274.20 / $3,856.60	Facility		$3,274.20	$3,274.20	$3,856.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,129.38 / $3,335.94 / $3,856.60	Professional		$3,129.38	$3,335.94	$3,856.60
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 $3,340.66 / $4,469.13 / $6,950.44	Professional		$3,340.66	$4,469.13	$6,950.44