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 $1,993.49 / $2,211.77 / $2,695.25	Professional		$1,993.49	$2,211.77	$2,695.25
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 $1,688.59 / $2,528.01 / $3,829.45	Professional		$1,688.59	$2,528.01	$3,829.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,867.21 / $2,569.42 / $3,955.30	Professional		$1,867.21	$2,569.42	$3,955.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,881.21 / $2,881.21 / $3,073.61	Professional		$2,881.21	$2,881.21	$3,073.61
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 $1,665.94 / $2,305.98 / $5,958.00	Professional		$1,665.94	$2,305.98	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,580.30 / $4,690.30	Professional		$15.00	$2,580.30	$4,690.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.58 / $2,574.16 / $3,955.30	Professional		$1,986.58	$2,574.16	$3,955.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,876.57 / $1,876.57 / $1,939.04	Facility		$1,876.57	$1,876.57	$1,939.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,783.47 / $1,914.10 / $1,954.64	Professional		$1,783.47	$1,914.10	$1,954.64
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 $1,896.28 / $2,586.19 / $3,972.49	Professional		$1,896.28	$2,586.19	$3,972.49