Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,943.32 / $8,247.00	Facility		$1,020.00	$4,943.32	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,756.19 / $4,571.28 / $5,748.78	Professional		$1,756.19	$4,571.28	$5,748.78
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 $4,096.43 / $4,251.02 / $4,251.02	Professional		$4,096.43	$4,251.02	$4,251.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,863.70 / $4,666.17 / $8,120.67	Professional		$1,863.70	$4,666.17	$8,120.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,232.00 / $6,232.00 / $6,570.60	Professional		$6,232.00	$6,232.00	$6,570.60
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 $1,698.60 / $4,929.39 / $9,886.64	Professional		$1,698.60	$4,929.39	$9,886.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,709.30 / $10,168.50	Professional		$25.00	$2,709.30	$10,168.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.06 / $4,666.17 / $8,120.67	Professional		$1,827.06	$4,666.17	$8,120.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,903.24 / $4,020.13 / $4,020.13	Facility		$1,903.24	$4,020.13	$4,020.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,903.24 / $4,020.13 / $4,203.26	Professional		$1,903.24	$4,020.13	$4,203.26
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 $1,698.71 / $4,549.59 / $8,114.25	Professional		$1,698.71	$4,549.59	$8,114.25