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 $2,031.47 / $2,504.30 / $3,140.18	Professional		$2,031.47	$2,504.30	$3,140.18
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 $2,236.19 / $2,320.57 / $2,320.57	Professional		$2,236.19	$2,320.57	$2,320.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,204.77 / $2,887.41 / $4,529.24	Professional		$2,204.77	$2,887.41	$4,529.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,408.04 / $3,408.04 / $3,596.81	Professional		$3,408.04	$3,408.04	$3,596.81
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 $1,968.33 / $2,538.11 / $5,397.80	Professional		$1,968.33	$2,538.11	$5,397.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,887.30 / $5,558.00	Professional		$25.00	$3,887.30	$5,558.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,250.12 / $2,894.74 / $4,529.24	Professional		$2,250.12	$2,894.74	$4,529.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,195.94 / $2,195.94 / $3,199.89	Facility		$2,195.94	$2,195.94	$3,199.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,097.02 / $2,239.05 / $3,199.89	Professional		$2,097.02	$2,239.05	$3,199.89
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 $2,215.09 / $2,851.75 / $4,610.10	Professional		$2,215.09	$2,851.75	$4,610.10