Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,839.00 / $8,113.00	Facility		$1,301.00	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,139.92 / $3,553.59 / $4,608.43	Professional		$3,139.92	$3,553.59	$4,608.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,531.00 / $27,840.00 / $46,296.00	Facility		$13,531.00	$27,840.00	$46,296.00
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,571.77 / $3,706.55 / $6,628.94	Professional		$3,571.77	$3,706.55	$6,628.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,746.54 / $14,024.65 / $16,886.06	Professional		$9,746.54	$14,024.65	$16,886.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,019.19 / $8,019.19 / $8,019.19	Facility		$8,019.19	$8,019.19	$8,019.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,314.67 / $5,521.51 / $7,158.01	Professional		$4,314.67	$5,521.51	$7,158.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,959.77 / $3,691.89 / $7,197.00	Professional		$2,959.77	$3,691.89	$7,197.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,375.20 / $3,375.20 / $3,375.20	Facility		$3,375.20	$3,375.20	$3,375.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $3,827.20 / $8,940.40	Professional		$13.00	$3,827.20	$8,940.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,746.54 / $14,024.65 / $16,886.06	Professional		$9,746.54	$14,024.65	$16,886.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,089.35 / $3,483.05 / $3,483.05	Facility		$3,089.35	$3,483.05	$3,483.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,089.35 / $3,483.05 / $3,665.78	Professional		$3,089.35	$3,483.05	$3,665.78
United Facility/Professional Facility Modifier Low / Median / High Price $388.00 / $2,020.00 / $6,322.00	Facility		$388.00	$2,020.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,057.41 / $4,029.67 / $6,860.30	Professional		$3,057.41	$4,029.67	$6,860.30