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 $2,504.44 / $2,719.14 / $3,376.99	Professional		$2,504.44	$2,719.14	$3,376.99
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 $2,114.71 / $3,172.57 / $4,598.62	Professional		$2,114.71	$3,172.57	$4,598.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,336.96 / $3,120.09 / $4,855.75	Professional		$2,336.96	$3,120.09	$4,855.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,604.51 / $3,604.51 / $3,848.15	Professional		$3,604.51	$3,604.51	$3,848.15
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 $2,085.73 / $2,886.96 / $5,958.00	Professional		$2,085.73	$2,886.96	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,107.90 / $5,868.80	Professional		$15.00	$3,107.90	$5,868.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,487.91 / $3,140.23 / $4,855.75	Professional		$2,487.91	$3,140.23	$4,855.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,313.05 / $2,350.59 / $2,350.59	Facility		$2,313.05	$2,350.59	$2,350.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,234.85 / $2,350.59 / $2,447.40	Professional		$2,234.85	$2,350.59	$2,447.40
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 $2,374.83 / $3,223.40 / $5,070.03	Professional		$2,374.83	$3,223.40	$5,070.03