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 $1,807.76 / $2,038.33 / $2,865.70	Professional		$1,807.76	$2,038.33	$2,865.70
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 $2,121.75 / $2,201.82 / $2,201.82	Professional		$2,121.75	$2,201.82	$2,201.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.84 / $2,702.23 / $4,446.13	Professional		$2,051.84	$2,702.23	$4,446.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,653.49 / $3,592.92 / $3,592.92	Professional		$2,653.49	$3,592.92	$3,592.92
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 $1,797.89 / $2,166.21 / $5,958.00	Professional		$1,797.89	$2,166.21	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,409.60 / $5,275.20	Professional		$11.00	$2,409.60	$5,275.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.84 / $2,702.23 / $4,501.35	Professional		$2,051.84	$2,702.23	$4,501.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,067.96 / $2,067.96 / $2,241.98	Facility		$2,067.96	$2,067.96	$2,241.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,964.43 / $2,118.07 / $2,241.98	Professional		$1,964.43	$2,118.07	$2,241.98
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 $2,012.35 / $2,814.11 / $4,215.42	Professional		$2,012.35	$2,814.11	$4,215.42