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 $1,823.11 / $2,106.15 / $2,890.30	Professional		$1,823.11	$2,106.15	$2,890.30
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 $2,139.94 / $2,220.69 / $2,220.69	Professional		$2,139.94	$2,220.69	$2,220.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.19 / $2,725.40 / $4,484.02	Professional		$2,069.19	$2,725.40	$4,484.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,676.44 / $3,624.16 / $3,624.16	Professional		$2,676.44	$3,624.16	$3,624.16
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 $1,812.87 / $2,184.53 / $5,958.00	Professional		$1,812.87	$2,184.53	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,325.30 / $5,319.30	Professional		$11.00	$2,325.30	$5,319.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.19 / $2,726.80 / $4,556.63	Professional		$2,069.19	$2,726.80	$4,556.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,085.59 / $2,085.59 / $2,116.02	Facility		$2,085.59	$2,085.59	$2,116.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,981.30 / $2,116.02 / $2,213.21	Professional		$1,981.30	$2,116.02	$2,213.21
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 $1,995.62 / $2,842.26 / $4,258.39	Professional		$1,995.62	$2,842.26	$4,258.39