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 $2,210.37 / $2,615.44 / $3,748.32	Professional		$2,210.37	$2,615.44	$3,748.32
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 $2,593.17 / $2,691.04 / $2,691.04	Professional		$2,593.17	$2,691.04	$2,691.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,507.37 / $3,330.94 / $5,435.83	Professional		$2,507.37	$3,330.94	$5,435.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,243.74 / $4,394.14 / $4,394.14	Professional		$3,243.74	$4,394.14	$4,394.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,210.37 / $2,647.00 / $6,511.62	Professional		$2,210.37	$2,647.00	$6,511.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,877.00 / $6,433.20	Professional		$11.00	$2,877.00	$6,433.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,507.37 / $3,330.94 / $5,522.09	Professional		$2,507.37	$3,330.94	$5,522.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,336.21 / $2,528.29 / $2,528.29	Facility		$2,336.21	$2,528.29	$2,528.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,336.21 / $2,528.29 / $2,681.09	Professional		$2,336.21	$2,528.29	$2,681.09
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 $2,640.47 / $3,521.67 / $5,173.00	Professional		$2,640.47	$3,521.67	$5,173.00