Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $5,526.00 / $13,947.00	Facility		$1,426.00	$5,526.00	$13,947.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.46 / $1,739.76 / $2,176.87	Professional		$1,308.46	$1,739.76	$2,176.87
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 $1,544.60 / $1,602.89 / $1,602.89	Professional		$1,544.60	$1,602.89	$1,602.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.73 / $1,887.10 / $3,129.08	Professional		$1,395.73	$1,887.10	$3,129.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.17 / $2,337.17 / $2,464.37	Professional		$2,337.17	$2,337.17	$2,464.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,526.00 / $13,969.00	Facility		$1,013.00	$5,526.00	$13,969.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,366.24 / $1,873.20 / $5,958.00	Professional		$1,366.24	$1,873.20	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,808.80 / $3,927.00	Professional		$20.00	$2,808.80	$3,927.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.69 / $1,887.10 / $3,129.08	Professional		$1,409.69	$1,887.10	$3,129.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,322.13 / $1,521.33 / $1,521.33	Facility		$1,322.13	$1,521.33	$1,521.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,322.13 / $1,521.33 / $1,586.88	Professional		$1,322.13	$1,521.33	$1,586.88
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 $1,384.22 / $1,782.72 / $3,151.85	Professional		$1,384.22	$1,782.72	$3,151.85