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 $2,731.23 / $3,174.65 / $4,333.10	Professional		$2,731.23	$3,174.65	$4,333.10
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 $3,204.66 / $3,325.59 / $3,325.59	Professional		$3,204.66	$3,325.59	$3,325.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,098.85 / $4,081.40 / $6,717.40	Professional		$3,098.85	$4,081.40	$6,717.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,008.29 / $5,429.27 / $5,429.27	Professional		$4,008.29	$5,429.27	$5,429.27
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 $2,730.65 / $3,271.19 / $8,047.13	Professional		$2,730.65	$3,271.19	$8,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,529.10 / $7,953.10	Professional		$11.00	$3,529.10	$7,953.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.85 / $4,083.93 / $6,816.46	Professional		$3,098.85	$4,083.93	$6,816.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,819.32 / $3,124.37 / $3,124.37	Facility		$2,819.32	$3,124.37	$3,124.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,819.32 / $3,124.37 / $3,313.69	Professional		$2,819.32	$3,124.37	$3,313.69
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 $3,134.54 / $4,340.07 / $6,749.08	Professional		$3,134.54	$4,340.07	$6,749.08