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 $1,877.80 / $2,072.26 / $2,976.12	Professional		$1,877.80	$2,072.26	$2,976.12
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 $2,203.79 / $2,286.96 / $2,286.96	Professional		$2,203.79	$2,286.96	$2,286.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,130.88 / $2,806.71 / $4,616.66	Professional		$2,130.88	$2,806.71	$4,616.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,756.23 / $3,732.38 / $3,732.38	Professional		$2,756.23	$3,732.38	$3,732.38
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 $1,857.33 / $2,249.88 / $6,442.00	Professional		$1,857.33	$2,249.88	$6,442.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,403.90 / $5,476.60	Professional		$11.00	$2,403.90	$5,476.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,130.88 / $2,807.09 / $4,679.43	Professional		$2,130.88	$2,807.09	$4,679.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,147.28 / $2,147.28 / $2,169.53	Facility		$2,147.28	$2,147.28	$2,169.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,039.92 / $2,169.53 / $2,278.38	Professional		$2,039.92	$2,169.53	$2,278.38
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 $2,218.92 / $2,982.12 / $4,618.42	Professional		$2,218.92	$2,982.12	$4,618.42