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 $1,121.31 / $2,389.06 / $2,844.15	Professional		$1,121.31	$2,389.06	$2,844.15
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 $2,119.54 / $3,087.18 / $4,355.08	Professional		$2,119.54	$3,087.18	$4,355.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,813.01 / $4,813.01 / $5,174.72	Professional		$4,813.01	$4,813.01	$5,174.72
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 $1,121.31 / $2,600.90 / $7,197.00	Professional		$1,121.31	$2,600.90	$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 $2,272.34 / $3,071.06 / $4,288.43	Professional		$2,272.34	$3,071.06	$4,288.43
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 / $2,811.29 / $3,821.81	Professional		$1,539.92	$2,811.29	$3,821.81
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 $1,848.01 / $2,874.45 / $5,322.41	Professional		$1,848.01	$2,874.45	$5,322.41