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 $2,508.75 / $2,879.69 / $3,612.12	Professional		$2,508.75	$2,879.69	$3,612.12
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 $2,585.08 / $2,682.62 / $2,682.62	Professional		$2,585.08	$2,682.62	$2,682.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,363.89 / $3,302.08 / $5,178.31	Professional		$2,363.89	$3,302.08	$5,178.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,943.93 / $3,943.93 / $4,148.41	Professional		$3,943.93	$3,943.93	$4,148.41
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 $2,273.88 / $3,091.19 / $6,203.36	Professional		$2,273.88	$3,091.19	$6,203.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $3,520.50 / $6,392.70	Professional		$20.00	$3,520.50	$6,392.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,493.64 / $3,341.12 / $5,178.31	Professional		$2,493.64	$3,341.12	$5,178.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,528.29 / $2,528.29 / $2,536.76	Facility		$2,528.29	$2,528.29	$2,536.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,416.60 / $2,536.76 / $2,645.81	Professional		$2,416.60	$2,536.76	$2,645.81
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 $2,289.73 / $3,126.38 / $5,318.55	Professional		$2,289.73	$3,126.38	$5,318.55