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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.33 / $2,159.15 / $2,701.62	Professional		$1,808.33	$2,159.15	$2,701.62
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 $1,932.75 / $2,005.69 / $2,005.69	Professional		$1,932.75	$2,005.69	$2,005.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.12 / $2,497.53 / $3,907.34	Professional		$1,892.12	$2,497.53	$3,907.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,961.41 / $2,961.41 / $3,111.93	Professional		$2,961.41	$2,961.41	$3,111.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,702.09 / $2,328.32 / $5,958.00	Professional		$1,702.09	$2,328.32	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,638.90 / $4,812.80	Professional		$25.00	$3,638.90	$4,812.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,916.74 / $2,510.63 / $3,907.34	Professional		$1,916.74	$2,510.63	$3,907.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,892.37 / $1,892.37 / $2,649.66	Facility		$1,892.37	$1,892.37	$2,649.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,809.99 / $1,926.54 / $2,649.66	Professional		$1,809.99	$1,926.54	$2,649.66
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 $1,825.02 / $2,504.11 / $3,955.22	Professional		$1,825.02	$2,504.11	$3,955.22