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 $1,844.85 / $2,121.90 / $3,153.12	Professional		$1,844.85	$2,121.90	$3,153.12
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 $2,166.69 / $2,248.46 / $4,048.88	Professional		$2,166.69	$2,248.46	$4,048.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.26 / $2,759.48 / $4,540.05	Professional		$2,094.26	$2,759.48	$4,540.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,710.10 / $3,669.91 / $3,669.91	Professional		$2,710.10	$3,669.91	$3,669.91
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 $1,844.85 / $2,210.39 / $5,437.56	Professional		$1,844.85	$2,210.39	$5,437.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,359.10 / $5,381.90	Professional		$11.00	$2,359.10	$5,381.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.26 / $2,759.48 / $4,596.74	Professional		$2,094.26	$2,759.48	$4,596.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,111.65 / $2,111.65 / $2,127.60	Facility		$2,111.65	$2,111.65	$2,127.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,005.14 / $2,127.60 / $2,240.80	Professional		$2,005.14	$2,127.60	$2,240.80
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 $2,179.83 / $2,760.97 / $4,303.77	Professional		$2,179.83	$2,760.97	$4,303.77