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 $1,117.19 / $2,207.19 / $2,583.67	Professional		$1,117.19	$2,207.19	$2,583.67
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 $2,486.36 / $2,925.13 / $4,795.64	Professional		$2,486.36	$2,925.13	$4,795.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,928.35 / $2,606.17 / $4,109.99	Professional		$1,928.35	$2,606.17	$4,109.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,523.88 / $3,523.88 / $4,813.01	Professional		$3,523.88	$3,523.88	$4,813.01
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 $1,117.19 / $2,237.32 / $7,197.00	Professional		$1,117.19	$2,237.32	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.35 / $2,601.26 / $3,956.32	Professional		$1,928.35	$2,601.26	$3,956.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,756.17 / $2,756.17 / $2,860.20	Facility		$2,756.17	$2,756.17	$2,860.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,539.92 / $2,756.17 / $2,860.20	Professional		$1,539.92	$2,756.17	$2,860.20
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 $1,849.55 / $2,792.17 / $5,250.24	Professional		$1,849.55	$2,792.17	$5,250.24