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 $2,639.25 / $3,009.77 / $9,796.00	Professional		$2,639.25	$3,009.77	$9,796.00
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 $2,647.13 / $2,747.02 / $2,747.02	Professional		$2,647.13	$2,747.02	$2,747.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.87 / $3,433.71 / $5,332.43	Professional		$2,589.87	$3,433.71	$5,332.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,037.12 / $4,037.12 / $4,233.25	Professional		$4,037.12	$4,037.12	$4,233.25
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 $2,345.01 / $3,204.74 / $9,796.00	Professional		$2,345.01	$3,204.74	$9,796.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $4,442.20 / $6,603.50	Professional		$18.00	$4,442.20	$6,603.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.06 / $3,440.12 / $5,332.43	Professional		$2,643.06	$3,440.12	$5,332.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,599.17 / $2,599.17 / $3,485.11	Facility		$2,599.17	$2,599.17	$3,485.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,486.55 / $2,646.02 / $3,485.11	Professional		$2,486.55	$2,646.02	$3,485.11
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 $2,507.92 / $3,329.55 / $5,352.89	Professional		$2,507.92	$3,329.55	$5,352.89