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 $2,058.82 / $2,382.08 / $3,182.62	Professional		$2,058.82	$2,382.08	$3,182.62
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 $2,129.48 / $2,209.83 / $3,269.16	Professional		$2,129.48	$2,209.83	$3,269.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.14 / $2,753.26 / $4,306.79	Professional		$2,099.14	$2,753.26	$4,306.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,254.10 / $3,254.10 / $3,426.42	Professional		$3,254.10	$3,254.10	$3,426.42
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 $1,874.82 / $2,553.98 / $7,197.00	Professional		$1,874.82	$2,553.98	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,800.20 / $5,294.90	Professional		$25.00	$3,800.20	$5,294.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.36 / $2,787.80 / $4,306.79	Professional		$2,141.36	$2,787.80	$4,306.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,088.12 / $2,088.12 / $3,170.96	Facility		$2,088.12	$2,088.12	$3,170.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.36 / $2,127.50 / $3,170.96	Professional		$1,995.36	$2,127.50	$3,170.96
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 $2,104.85 / $2,707.39 / $4,372.93	Professional		$2,104.85	$2,707.39	$4,372.93