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 $2,280.37 / $2,545.51 / $3,620.68	Professional		$2,280.37	$2,545.51	$3,620.68
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 $2,673.75 / $2,774.65 / $2,774.65	Professional		$2,673.75	$2,774.65	$2,774.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,443.73 / $3,404.45 / $5,608.08	Professional		$2,443.73	$3,404.45	$5,608.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,344.18 / $4,531.22 / $4,531.22	Professional		$3,344.18	$4,531.22	$4,531.22
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 $2,280.37 / $2,729.76 / $6,715.21	Professional		$2,280.37	$2,729.76	$6,715.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,377.60 / $6,624.60	Professional		$11.00	$2,377.60	$6,624.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,443.73 / $3,404.45 / $5,719.95	Professional		$2,443.73	$3,404.45	$5,719.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,500.40 / $2,608.41 / $2,608.41	Facility		$2,500.40	$2,608.41	$2,608.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,473.48 / $2,608.41 / $2,764.60	Professional		$2,473.48	$2,608.41	$2,764.60
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 $2,422.84 / $3,570.02 / $5,350.79	Professional		$2,422.84	$3,570.02	$5,350.79