Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,899.45 / $2,168.07 / $2,718.70	Professional		$1,899.45	$2,168.07	$2,718.70
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 $1,934.56 / $2,007.57 / $2,007.57	Professional		$1,934.56	$2,007.57	$2,007.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,906.37 / $2,505.17 / $3,919.18	Professional		$1,906.37	$2,505.17	$3,919.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,943.99 / $2,943.99 / $3,110.10	Professional		$2,943.99	$2,943.99	$3,110.10
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 $1,701.84 / $2,198.84 / $4,670.74	Professional		$1,701.84	$2,198.84	$4,670.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,488.50 / $4,804.10	Professional		$25.00	$3,488.50	$4,804.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.54 / $2,534.96 / $3,919.18	Professional		$1,988.54	$2,534.96	$3,919.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,900.34 / $1,900.34 / $2,636.94	Facility		$1,900.34	$1,900.34	$2,636.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,813.94 / $1,938.35 / $2,636.94	Professional		$1,813.94	$1,938.35	$2,636.94
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 $1,850.91 / $2,459.94 / $3,915.34	Professional		$1,850.91	$2,459.94	$3,915.34