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 $2,868.06 / $3,226.45 / $4,052.23	Professional		$2,868.06	$3,226.45	$4,052.23
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 $2,550.37 / $3,824.21 / $5,551.74	Professional		$2,550.37	$3,824.21	$5,551.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,795.58 / $3,738.15 / $5,833.74	Professional		$2,795.58	$3,738.15	$5,833.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,411.99 / $4,411.99 / $4,623.64	Professional		$4,411.99	$4,411.99	$4,623.64
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 $2,562.17 / $3,508.82 / $7,048.02	Professional		$2,562.17	$3,508.82	$7,048.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $5,246.90 / $7,266.00	Professional		$20.00	$5,246.90	$7,266.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,864.04 / $3,765.61 / $5,833.74	Professional		$2,864.04	$3,765.61	$5,833.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,485.64 / $2,839.02 / $2,839.02	Facility		$2,485.64	$2,839.02	$2,839.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,485.64 / $2,839.02 / $2,970.61	Professional		$2,485.64	$2,839.02	$2,970.61
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 $2,610.73 / $3,625.08 / $5,875.93	Professional		$2,610.73	$3,625.08	$5,875.93