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 / $8,247.00	Facility		$1,020.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,898.52 / $2,203.03 / $2,760.30	Professional		$1,898.52	$2,203.03	$2,760.30
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 $1,968.42 / $2,042.70 / $2,042.70	Professional		$1,968.42	$2,042.70	$2,042.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,939.02 / $2,546.39 / $3,981.54	Professional		$1,939.02	$2,546.39	$3,981.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,003.11 / $3,003.11 / $3,166.68	Professional		$3,003.11	$3,003.11	$3,166.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,731.89 / $2,372.53 / $5,958.00	Professional		$1,731.89	$2,372.53	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,482.00 / $4,889.20	Professional		$25.00	$3,482.00	$4,889.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,033.37 / $2,577.31 / $3,981.54	Professional		$2,033.37	$2,577.31	$3,981.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,930.88 / $1,930.88 / $3,302.31	Facility		$1,930.88	$1,930.88	$3,302.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,844.76 / $1,968.21 / $3,302.31	Professional		$1,844.76	$1,968.21	$3,302.31
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 $1,948.76 / $2,570.17 / $4,101.00	Professional		$1,948.76	$2,570.17	$4,101.00