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 $1,894.28 / $2,167.69 / $2,716.23	Professional		$1,894.28	$2,167.69	$2,716.23
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 $1,708.59 / $2,557.94 / $3,693.61	Professional		$1,708.59	$2,557.94	$3,693.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.80 / $2,591.54 / $4,028.46	Professional		$1,908.80	$2,591.54	$4,028.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,955.64 / $2,955.64 / $3,115.96	Professional		$2,955.64	$2,955.64	$3,115.96
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 $1,704.78 / $2,335.42 / $5,958.00	Professional		$1,704.78	$2,335.42	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,493.30 / $4,813.10	Professional		$25.00	$3,493.30	$4,813.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.10 / $2,594.21 / $4,040.87	Professional		$2,010.10	$2,594.21	$4,040.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,900.22 / $1,900.22 / $2,022.22	Facility		$1,900.22	$1,900.22	$2,022.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,815.06 / $1,936.81 / $2,022.22	Professional		$1,815.06	$1,936.81	$2,022.22
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 $1,918.22 / $2,529.19 / $3,899.24	Professional		$1,918.22	$2,529.19	$3,899.24