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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.51 / $2,229.29 / $2,961.28	Professional		$1,867.51	$2,229.29	$2,961.28
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 $1,933.02 / $3,087.76 / $4,204.95	Professional		$1,933.02	$3,087.76	$4,204.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.81 / $2,838.43 / $4,593.07	Professional		$2,119.81	$2,838.43	$4,593.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.72 / $3,711.50 / $3,711.50	Professional		$2,740.72	$3,711.50	$3,711.50
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,867.51 / $2,237.32 / $5,503.81	Professional		$1,867.51	$2,237.32	$5,503.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,848.90 / $5,445.40	Professional		$11.00	$3,848.90	$5,445.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,119.81 / $2,838.43 / $4,670.14	Professional		$2,119.81	$2,838.43	$4,670.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,136.31 / $2,136.31 / $2,254.57	Facility		$2,136.31	$2,136.31	$2,254.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,028.76 / $2,188.66 / $2,266.61	Professional		$2,028.76	$2,188.66	$2,266.61
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 $2,210.50 / $2,888.94 / $4,364.45	Professional		$2,210.50	$2,888.94	$4,364.45