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 $1,809.74 / $2,044.03 / $2,619.02	Professional		$1,809.74	$2,044.03	$2,619.02
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 $2,047.05 / $2,124.30 / $2,124.30	Professional		$2,047.05	$2,124.30	$2,124.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.39 / $2,539.23 / $4,137.22	Professional		$1,720.39	$2,539.23	$4,137.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,481.82 / $3,322.26 / $3,322.26	Professional		$2,481.82	$3,322.26	$3,322.26
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 $1,809.74 / $2,167.28 / $6,656.30	Professional		$1,809.74	$2,167.28	$6,656.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,646.30 / $5,171.10	Professional		$10.00	$1,646.30	$5,171.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,720.39 / $2,573.92 / $4,155.00	Professional		$1,720.39	$2,573.92	$4,155.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,988.50 / $1,988.50 / $2,046.63	Facility		$1,988.50	$1,988.50	$2,046.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,913.69 / $2,012.09 / $2,103.59	Professional		$1,913.69	$2,012.09	$2,103.59
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.91 / $2,535.08 / $4,106.58	Professional		$1,738.91	$2,535.08	$4,106.58