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 $2,375.42 / $2,800.65 / $3,517.76	Professional		$2,375.42	$2,800.65	$3,517.76
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 $2,200.91 / $4,021.23 / $4,773.59	Professional		$2,200.91	$4,021.23	$4,773.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,452.71 / $3,390.22 / $5,204.52	Professional		$2,452.71	$3,390.22	$5,204.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,777.77 / $3,777.77 / $4,007.42	Professional		$3,777.77	$3,777.77	$4,007.42
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 $2,191.19 / $3,007.71 / $6,024.38	Professional		$2,191.19	$3,007.71	$6,024.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,734.30 / $6,173.30	Professional		$20.00	$2,734.30	$6,173.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,659.77 / $3,457.70 / $5,449.60	Professional		$2,659.77	$3,457.70	$5,449.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,454.96 / $2,454.96 / $2,885.01	Facility		$2,454.96	$2,454.96	$2,885.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,339.76 / $2,504.06 / $2,885.01	Professional		$2,339.76	$2,504.06	$2,885.01
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 $2,487.64 / $3,281.43 / $5,182.97	Professional		$2,487.64	$3,281.43	$5,182.97