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 $2,483.60 / $2,620.29 / $3,228.05	Professional		$2,483.60	$2,620.29	$3,228.05
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 $2,022.21 / $3,029.93 / $4,390.77	Professional		$2,022.21	$3,029.93	$4,390.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.69 / $2,998.55 / $4,640.06	Professional		$2,234.69	$2,998.55	$4,640.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,448.35 / $3,448.35 / $3,680.33	Professional		$3,448.35	$3,448.35	$3,680.33
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 $1,994.65 / $2,760.41 / $5,958.00	Professional		$1,994.65	$2,760.41	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,181.80 / $5,612.60	Professional		$15.00	$4,181.80	$5,612.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.07 / $3,002.19 / $4,640.06	Professional		$2,379.07	$3,002.19	$4,640.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,221.69 / $2,247.23 / $2,247.23	Facility		$2,221.69	$2,247.23	$2,247.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,136.65 / $2,247.23 / $2,340.16	Professional		$2,136.65	$2,247.23	$2,340.16
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 $2,176.42 / $2,978.77 / $4,765.72	Professional		$2,176.42	$2,978.77	$4,765.72