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 $1,721.51 / $1,983.46 / $2,728.08	Professional		$1,721.51	$1,983.46	$2,728.08
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 $2,021.17 / $2,097.44 / $2,097.44	Professional		$2,021.17	$2,097.44	$2,097.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,953.89 / $2,574.12 / $4,233.60	Professional		$1,953.89	$2,574.12	$4,233.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,527.77 / $3,422.36 / $3,422.36	Professional		$2,527.77	$3,422.36	$3,422.36
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 $1,721.51 / $2,063.21 / $5,092.87	Professional		$1,721.51	$2,063.21	$5,092.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,323.00 / $5,027.10	Professional		$11.00	$2,323.00	$5,027.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,953.89 / $2,574.52 / $4,298.00	Professional		$1,953.89	$2,574.52	$4,298.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,969.12 / $1,969.12 / $2,378.33	Facility		$1,969.12	$1,969.12	$2,378.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,870.72 / $2,016.38 / $2,378.33	Professional		$1,870.72	$2,016.38	$2,378.33
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 $2,033.53 / $2,684.13 / $4,014.92	Professional		$2,033.53	$2,684.13	$4,014.92