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 $2,216.32 / $2,334.44 / $2,879.72	Professional		$2,216.32	$2,334.44	$2,879.72
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 $1,804.57 / $2,703.62 / $4,022.91	Professional		$1,804.57	$2,703.62	$4,022.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,994.79 / $2,678.18 / $4,215.01	Professional		$1,994.79	$2,678.18	$4,215.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,078.25 / $3,078.25 / $3,284.11	Professional		$3,078.25	$3,078.25	$3,284.11
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 $1,779.96 / $2,463.69 / $5,958.00	Professional		$1,779.96	$2,463.69	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,737.10 / $5,010.50	Professional		$15.00	$3,737.10	$5,010.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,123.02 / $2,680.54 / $4,215.01	Professional		$2,123.02	$2,680.54	$4,215.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,004.94 / $2,004.94 / $2,009.19	Facility		$2,004.94	$2,004.94	$2,009.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,906.45 / $2,009.19 / $2,088.06	Professional		$1,906.45	$2,009.19	$2,088.06
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 $2,023.60 / $2,691.90 / $4,344.14	Professional		$2,023.60	$2,691.90	$4,344.14