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 $1,795.18 / $2,019.35 / $2,599.44	Professional		$1,795.18	$2,019.35	$2,599.44
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 $1,807.35 / $1,875.56 / $1,875.56	Professional		$1,807.35	$1,875.56	$1,875.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.19 / $2,335.92 / $3,654.00	Professional		$1,783.19	$2,335.92	$3,654.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,769.14 / $2,769.14 / $2,909.91	Professional		$2,769.14	$2,769.14	$2,909.91
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 $1,592.40 / $2,037.49 / $4,354.72	Professional		$1,592.40	$2,037.49	$4,354.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,260.40 / $4,500.80	Professional		$25.00	$3,260.40	$4,500.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.82 / $2,364.73 / $3,654.00	Professional		$1,809.82	$2,364.73	$3,654.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,770.18 / $1,770.18 / $2,666.38	Facility		$1,770.18	$1,770.18	$2,666.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,693.18 / $1,802.08 / $2,666.38	Professional		$1,693.18	$1,802.08	$2,666.38
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,790.30 / $2,342.09 / $3,699.30	Professional		$1,790.30	$2,342.09	$3,699.30