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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,243.44 / $2,585.19 / $3,913.72	Professional		$2,243.44	$2,585.19	$3,913.72
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 $2,276.98 / $2,362.90 / $2,362.90	Professional		$2,276.98	$2,362.90	$2,362.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.69 / $2,951.37 / $4,592.17	Professional		$2,217.69	$2,951.37	$4,592.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,477.78 / $3,477.78 / $3,638.60	Professional		$3,477.78	$3,477.78	$3,638.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,192.46 / $2,751.83 / $7,799.00	Professional		$2,192.46	$2,751.83	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,486.30 / $5,678.80	Professional		$20.00	$3,486.30	$5,678.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.63 / $2,968.85 / $4,592.17	Professional		$2,286.63	$2,968.85	$4,592.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.07 / $2,238.07 / $2,880.43	Facility		$2,238.07	$2,238.07	$2,880.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,141.62 / $2,277.63 / $2,880.43	Professional		$2,141.62	$2,277.63	$2,880.43
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 $2,088.76 / $2,866.97 / $4,624.39	Professional		$2,088.76	$2,866.97	$4,624.39