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 $1,653.60 / $2,161.42 / $2,608.10	Professional		$1,653.60	$2,161.42	$2,608.10
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 $1,861.06 / $1,931.29 / $1,931.29	Professional		$1,861.06	$1,931.29	$1,931.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.91 / $2,451.82 / $3,768.80	Professional		$1,836.91	$2,451.82	$3,768.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.73 / $2,843.73 / $2,995.16	Professional		$2,843.73	$2,843.73	$2,995.16
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 $1,639.30 / $2,245.77 / $5,958.00	Professional		$1,639.30	$2,245.77	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,519.00 / $4,633.60	Professional		$25.00	$3,519.00	$4,633.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,885.07 / $2,451.82 / $3,768.80	Professional		$1,885.07	$2,451.82	$3,768.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,825.43 / $1,825.43 / $2,545.98	Facility		$1,825.43	$1,825.43	$2,545.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,744.89 / $1,859.76 / $2,545.98	Professional		$1,744.89	$1,859.76	$2,545.98
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 $1,843.51 / $2,424.34 / $3,824.87	Professional		$1,843.51	$2,424.34	$3,824.87