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 $1,993.66 / $2,505.83 / $3,188.10	Professional		$1,993.66	$2,505.83	$3,188.10
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 $1,974.18 / $3,003.83 / $4,335.84	Professional		$1,974.18	$3,003.83	$4,335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,185.64 / $2,924.95 / $4,576.25	Professional		$2,185.64	$2,924.95	$4,576.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,386.59 / $3,386.59 / $3,571.58	Professional		$3,386.59	$3,386.59	$3,571.58
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 $1,993.66 / $2,726.91 / $5,958.00	Professional		$1,993.66	$2,726.91	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $4,042.10 / $5,588.30	Professional		$20.00	$4,042.10	$5,588.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,279.67 / $2,929.08 / $4,576.25	Professional		$2,279.67	$2,929.08	$4,576.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,226.69 / $2,226.69 / $2,852.11	Facility		$2,226.69	$2,226.69	$2,852.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,123.90 / $2,271.21 / $2,852.11	Professional		$2,123.90	$2,271.21	$2,852.11
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 $2,263.30 / $3,761.58 / $5,114.06	Professional		$2,263.30	$3,761.58	$5,114.06