Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,451.00	Facility		$1,301.00	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,684.79 / $1,879.54 / $2,322.08	Professional		$1,684.79	$1,879.54	$2,322.08
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 $1,649.99 / $1,712.25 / $1,712.25	Professional		$1,649.99	$1,712.25	$1,712.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,611.00 / $2,218.67 / $3,428.58	Professional		$1,611.00	$2,218.67	$3,428.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,485.48 / $2,485.48 / $2,649.22	Professional		$2,485.48	$2,485.48	$2,649.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,990.00	Facility		$1,013.00	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,436.79 / $1,977.61 / $5,958.00	Professional		$1,436.79	$1,977.61	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,723.70 / $4,047.60	Professional		$15.00	$1,723.70	$4,047.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.96 / $2,248.23 / $3,504.11	Professional		$1,747.96	$2,248.23	$3,504.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,617.26 / $1,617.26 / $1,789.18	Facility		$1,617.26	$1,617.26	$1,789.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,538.33 / $1,649.61 / $1,789.18	Professional		$1,538.33	$1,649.61	$1,789.18
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 $1,660.27 / $2,254.59 / $3,525.75	Professional		$1,660.27	$2,254.59	$3,525.75