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 $1,533.97 / $1,777.16 / $2,232.61	Professional		$1,533.97	$1,777.16	$2,232.61
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 $1,752.47 / $1,818.60 / $1,818.60	Professional		$1,752.47	$1,818.60	$1,818.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,691.18 / $2,265.29 / $3,578.05	Professional		$1,691.18	$2,265.29	$3,578.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.28 / $2,690.97 / $2,695.61	Professional		$2,034.28	$2,690.97	$2,695.61
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 $1,533.97 / $1,784.71 / $4,503.50	Professional		$1,533.97	$1,784.71	$4,503.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,298.80 / $4,335.89	Professional		$7.00	$2,298.80	$4,335.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.49 / $2,285.63 / $3,698.13	Professional		$1,718.49	$2,285.63	$3,698.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,705.80 / $1,705.80 / $2,250.86	Facility		$1,705.80	$1,705.80	$2,250.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,652.20 / $1,716.16 / $2,250.86	Professional		$1,652.20	$1,716.16	$2,250.86
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 $1,715.59 / $2,185.13 / $3,602.62	Professional		$1,715.59	$2,185.13	$3,602.62