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 $2,121.07 / $2,662.74 / $3,188.11	Professional		$2,121.07	$2,662.74	$3,188.11
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 $2,266.85 / $2,352.39 / $3,649.11	Professional		$2,266.85	$2,352.39	$3,649.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,197.35 / $2,935.78 / $4,633.93	Professional		$2,197.35	$2,935.78	$4,633.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,446.35 / $3,446.35 / $3,644.36	Professional		$3,446.35	$3,446.35	$3,644.36
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 $1,993.76 / $2,735.91 / $5,958.00	Professional		$1,993.76	$2,735.91	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,995.40 / $5,624.40	Professional		$25.00	$3,995.40	$5,624.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,253.65 / $2,969.72 / $4,591.35	Professional		$2,253.65	$2,969.72	$4,591.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,227.78 / $2,227.78 / $2,853.70	Facility		$2,227.78	$2,227.78	$2,853.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,126.13 / $2,272.34 / $2,853.70	Professional		$2,126.13	$2,272.34	$2,853.70
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 $2,145.35 / $2,911.07 / $4,591.99	Professional		$2,145.35	$2,911.07	$4,591.99