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 $1,961.58 / $2,257.58 / $2,829.85	Professional		$1,961.58	$2,257.58	$2,829.85
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 $2,016.42 / $2,092.51 / $2,092.51	Professional		$2,016.42	$2,092.51	$2,092.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,985.57 / $2,609.30 / $4,079.78	Professional		$1,985.57	$2,609.30	$4,079.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,072.03 / $3,072.03 / $3,243.18	Professional		$3,072.03	$3,072.03	$3,243.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,990.00	Facility		$1,013.00	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,773.36 / $2,422.00 / $7,197.00	Professional		$1,773.36	$2,422.00	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,206.60 / $5,004.89	Professional		$20.00	$3,206.60	$5,004.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.93 / $2,640.29 / $4,079.78	Professional		$2,016.93	$2,640.29	$4,079.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,978.73 / $1,978.73 / $2,768.19	Facility		$1,978.73	$1,978.73	$2,768.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,889.16 / $2,017.76 / $2,768.19	Professional		$1,889.16	$2,017.76	$2,768.19
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 $1,999.18 / $2,631.66 / $4,214.39	Professional		$1,999.18	$2,631.66	$4,214.39