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 $2,142.12 / $2,554.62 / $3,204.61	Professional		$2,142.12	$2,554.62	$3,204.61
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 $2,280.25 / $2,366.30 / $2,366.30	Professional		$2,280.25	$2,366.30	$2,366.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,210.05 / $2,904.10 / $4,654.31	Professional		$2,210.05	$2,904.10	$4,654.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,469.34 / $3,469.34 / $3,666.31	Professional		$3,469.34	$3,469.34	$3,666.31
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 $2,005.58 / $2,751.52 / $5,958.00	Professional		$2,005.58	$2,751.52	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $4,052.60 / $5,659.60	Professional		$25.00	$4,052.60	$5,659.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,258.73 / $2,952.84 / $4,617.56	Professional		$2,258.73	$2,952.84	$4,617.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,239.84 / $2,239.84 / $2,924.03	Facility		$2,239.84	$2,239.84	$2,924.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,138.12 / $2,284.64 / $2,924.03	Professional		$2,138.12	$2,284.64	$2,924.03
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 $2,028.12 / $2,701.96 / $4,468.28	Professional		$2,028.12	$2,701.96	$4,468.28