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 $2,623.22 / $3,079.25 / $3,783.89	Professional		$2,623.22	$3,079.25	$3,783.89
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 $2,702.11 / $2,804.08 / $2,804.08	Professional		$2,702.11	$2,804.08	$2,804.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,667.30 / $3,529.20 / $5,473.38	Professional		$2,667.30	$3,529.20	$5,473.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,138.27 / $4,138.27 / $4,350.47	Professional		$4,138.27	$4,138.27	$4,350.47
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 $2,383.09 / $3,242.75 / $6,522.98	Professional		$2,383.09	$3,242.75	$6,522.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $4,797.20 / $6,741.10	Professional		$25.00	$4,797.20	$6,741.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,680.50 / $3,529.20 / $5,473.38	Professional		$2,680.50	$3,529.20	$5,473.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,650.17 / $2,650.17 / $3,562.92	Facility		$2,650.17	$2,650.17	$3,562.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,534.30 / $2,698.29 / $3,562.92	Professional		$2,534.30	$2,698.29	$3,562.92
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 $2,575.06 / $3,394.87 / $5,430.54	Professional		$2,575.06	$3,394.87	$5,430.54