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 $2,368.15 / $2,752.20 / $4,101.62	Professional		$2,368.15	$2,752.20	$4,101.62
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 $2,932.63 / $3,043.29 / $3,043.29	Professional		$2,932.63	$3,043.29	$3,043.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,602.85 / $3,600.81 / $5,901.89	Professional		$2,602.85	$3,600.81	$5,901.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,472.71 / $4,618.39 / $4,618.39	Professional		$3,472.71	$4,618.39	$4,618.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,440.80 / $2,931.37 / $7,682.92	Professional		$2,440.80	$2,931.37	$7,682.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,942.20 / $7,413.20	Professional		$8.00	$2,942.20	$7,413.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.11 / $3,721.80 / $5,969.85	Professional		$2,763.11	$3,721.80	$5,969.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,689.62 / $2,873.48 / $2,873.48	Facility		$2,689.62	$2,873.48	$2,873.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,689.62 / $2,873.48 / $3,019.84	Professional		$2,689.62	$2,873.48	$3,019.84
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 $2,570.96 / $3,690.89 / $6,244.69	Professional		$2,570.96	$3,690.89	$6,244.69