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 $2,202.51 / $2,458.73 / $3,066.97	Professional		$2,202.51	$2,458.73	$3,066.97
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 $1,876.24 / $2,910.24 / $4,216.35	Professional		$1,876.24	$2,910.24	$4,216.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.85 / $2,855.23 / $4,435.21	Professional		$2,129.85	$2,855.23	$4,435.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,199.64 / $3,199.64 / $3,414.41	Professional		$3,199.64	$3,199.64	$3,414.41
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 $1,902.90 / $2,624.79 / $7,795.62	Professional		$1,902.90	$2,624.79	$7,795.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,336.30 / $5,354.60	Professional		$15.00	$3,336.30	$5,354.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.48 / $2,863.15 / $4,435.21	Professional		$2,215.48	$2,863.15	$4,435.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,137.83 / $2,137.83 / $2,647.22	Facility		$2,137.83	$2,137.83	$2,647.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,035.48 / $2,180.59 / $2,647.22	Professional		$2,035.48	$2,180.59	$2,647.22
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,107.00 / $2,873.48 / $4,499.66	Professional		$2,107.00	$2,873.48	$4,499.66