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 $1,685.78 / $2,129.30 / $2,680.21	Professional		$1,685.78	$2,129.30	$2,680.21
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 $1,678.33 / $2,558.41 / $3,691.29	Professional		$1,678.33	$2,558.41	$3,691.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,848.98 / $2,473.55 / $3,872.14	Professional		$1,848.98	$2,473.55	$3,872.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,879.06 / $2,879.06 / $3,036.60	Professional		$2,879.06	$2,879.06	$3,036.60
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 $1,681.87 / $2,307.34 / $5,958.00	Professional		$1,681.87	$2,307.34	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,634.80 / $4,727.50	Professional		$15.00	$3,634.80	$4,727.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.83 / $2,488.98 / $3,872.14	Professional		$1,928.83	$2,488.98	$3,872.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,873.04 / $1,873.04 / $2,466.42	Facility		$1,873.04	$1,873.04	$2,466.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,787.94 / $1,910.50 / $2,466.42	Professional		$1,787.94	$1,910.50	$2,466.42
United Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $2,391.00 / $6,322.00	Facility		$618.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,904.07 / $2,736.21 / $4,025.40	Professional		$1,904.07	$2,736.21	$4,025.40