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 $2,632.90 / $2,905.27 / $4,180.31	Professional		$2,632.90	$2,905.27	$4,180.31
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 $3,085.86 / $3,202.31 / $3,202.31	Professional		$3,085.86	$3,202.31	$3,202.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,985.37 / $3,934.27 / $6,474.55	Professional		$2,985.37	$3,934.27	$6,474.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,859.78 / $5,230.01 / $5,230.01	Professional		$3,859.78	$5,230.01	$5,230.01
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 $2,632.90 / $3,151.73 / $7,753.26	Professional		$2,632.90	$3,151.73	$7,753.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,642.60 / $7,648.40	Professional		$11.00	$3,642.60	$7,648.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,985.37 / $3,938.79 / $6,592.53	Professional		$2,985.37	$3,938.79	$6,592.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,011.42 / $3,011.42 / $3,250.33	Facility		$3,011.42	$3,011.42	$3,250.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,855.29 / $3,089.36 / $3,250.33	Professional		$2,855.29	$3,089.36	$3,250.33
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 $3,119.87 / $4,128.22 / $6,185.39	Professional		$3,119.87	$4,128.22	$6,185.39