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 $2,025.42 / $2,366.67 / $3,212.03	Professional		$2,025.42	$2,366.67	$3,212.03
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 $2,376.17 / $2,465.84 / $2,465.84	Professional		$2,376.17	$2,465.84	$2,465.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,297.30 / $3,026.25 / $4,980.62	Professional		$2,297.30	$3,026.25	$4,980.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,971.79 / $4,024.87 / $4,024.87	Professional		$2,971.79	$4,024.87	$4,024.87
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 $2,020.09 / $2,426.14 / $5,968.30	Professional		$2,020.09	$2,426.14	$5,968.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,680.70 / $5,901.30	Professional		$11.00	$2,680.70	$5,901.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,297.30 / $3,028.69 / $5,052.46	Professional		$2,297.30	$3,028.69	$5,052.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,291.65 / $2,316.57 / $2,316.57	Facility		$2,291.65	$2,316.57	$2,316.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,199.60 / $2,316.57 / $2,457.32	Professional		$2,199.60	$2,316.57	$2,457.32
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 $2,396.44 / $3,198.87 / $4,731.46	Professional		$2,396.44	$3,198.87	$4,731.46