Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,155.09 / $2,392.05 / $2,392.05	Facility		$2,155.09	$2,392.05	$2,392.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,056.00 / $2,600.00 / $8,132.00	Professional		$2,056.00	$2,600.00	$8,132.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,666.55 / $4,666.55 / $4,878.72	Professional		$4,666.55	$4,666.55	$4,878.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,422.50 / $3,613.05 / $4,306.71	Professional		$2,422.50	$3,613.05	$4,306.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,170.44 / $2,879.04 / $4,563.10	Professional		$2,170.44	$2,879.04	$4,563.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,700.00 / $4,145.72	Professional		$1,300.00	$2,700.00	$4,145.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,392.05 / $2,392.05 / $2,392.05	Facility		$2,392.05	$2,392.05	$2,392.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,405.04 / $6,630.59	Professional		$2,100.00	$3,405.04	$6,630.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,285.00 / $6,287.50	Professional		$5.00	$3,285.00	$6,287.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,170.44 / $2,972.86 / $4,736.53	Professional		$2,170.44	$2,972.86	$4,736.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,456.91 / $2,456.91 / $2,723.36	Facility		$2,456.91	$2,456.91	$2,723.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,351.14 / $2,499.46 / $2,723.36	Professional		$2,351.14	$2,499.46	$2,723.36
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 $2,038.85 / $2,648.39 / $4,351.59	Professional		$2,038.85	$2,648.39	$4,351.59