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 $1,829.22 / $2,410.67 / $2,896.23	Professional		$1,829.22	$2,410.67	$2,896.23
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 $1,821.73 / $2,727.58 / $3,938.71	Professional		$1,821.73	$2,727.58	$3,938.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.13 / $2,763.51 / $4,294.68	Professional		$2,034.13	$2,763.51	$4,294.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,149.91 / $3,149.91 / $3,322.62	Professional		$3,149.91	$3,149.91	$3,322.62
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 $1,816.72 / $2,489.30 / $5,958.00	Professional		$1,816.72	$2,489.30	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,734.10 / $5,128.60	Professional		$25.00	$3,734.10	$5,128.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,133.96 / $2,760.29 / $4,340.18	Professional		$2,133.96	$2,760.29	$4,340.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,025.80 / $2,025.80 / $2,156.91	Facility		$2,025.80	$2,025.80	$2,156.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,934.95 / $2,065.13 / $2,156.91	Professional		$1,934.95	$2,065.13	$2,156.91
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 $2,045.97 / $2,667.13 / $4,252.99	Professional		$2,045.97	$2,667.13	$4,252.99