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 $2,199.91 / $2,602.91 / $3,264.45	Professional		$2,199.91	$2,602.91	$3,264.45
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 $2,324.51 / $2,412.21 / $2,412.21	Professional		$2,324.51	$2,412.21	$2,412.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,252.09 / $3,007.24 / $4,704.07	Professional		$2,252.09	$3,007.24	$4,704.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,538.49 / $3,538.49 / $3,738.07	Professional		$3,538.49	$3,538.49	$3,738.07
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 $2,043.97 / $2,803.08 / $5,958.00	Professional		$2,043.97	$2,803.08	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $4,197.10 / $5,767.20	Professional		$25.00	$4,197.10	$5,767.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.94 / $3,043.70 / $4,704.07	Professional		$2,326.94	$3,043.70	$4,704.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,282.00 / $2,282.00 / $3,018.24	Facility		$2,282.00	$2,282.00	$3,018.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,178.42 / $2,327.60 / $3,018.24	Professional		$2,178.42	$2,327.60	$3,018.24
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 $2,302.58 / $2,923.24 / $4,699.57	Professional		$2,302.58	$2,923.24	$4,699.57