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 $2,272.86 / $2,656.26 / $4,861.58	Professional		$2,272.86	$2,656.26	$4,861.58
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 $2,092.59 / $3,139.81 / $4,529.60	Professional		$2,092.59	$3,139.81	$4,529.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,334.88 / $3,069.42 / $4,832.07	Professional		$2,334.88	$3,069.42	$4,832.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,611.99 / $3,611.99 / $3,815.69	Professional		$3,611.99	$3,611.99	$3,815.69
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 $2,085.37 / $2,691.66 / $7,799.00	Professional		$2,085.37	$2,691.66	$7,799.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $4,269.30 / $5,884.40	Professional		$20.00	$4,269.30	$5,884.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,404.71 / $3,106.05 / $4,832.07	Professional		$2,404.71	$3,106.05	$4,832.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,126.87 / $2,327.96 / $2,512.33	Facility		$2,126.87	$2,327.96	$2,512.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,126.87 / $2,327.96 / $2,512.33	Professional		$2,126.87	$2,327.96	$2,512.33
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 $2,306.44 / $3,087.32 / $4,875.70	Professional		$2,306.44	$3,087.32	$4,875.70