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 $1,979.71 / $2,301.71 / $3,286.21	Professional		$1,979.71	$2,301.71	$3,286.21
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 $2,323.87 / $2,411.56 / $2,411.56	Professional		$2,323.87	$2,411.56	$2,411.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,247.15 / $2,959.64 / $4,871.09	Professional		$2,247.15	$2,959.64	$4,871.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,906.61 / $3,936.52 / $3,936.52	Professional		$2,906.61	$3,936.52	$3,936.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,247.00	Facility		$1,013.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,979.71 / $2,397.75 / $5,833.87	Professional		$1,979.71	$2,397.75	$5,833.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,653.10 / $5,769.80	Professional		$11.00	$2,653.10	$5,769.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,247.15 / $2,960.64 / $4,937.52	Professional		$2,247.15	$2,960.64	$4,937.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,265.62 / $2,265.62 / $2,452.36	Facility		$2,265.62	$2,265.62	$2,452.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,150.34 / $2,321.65 / $2,452.36	Professional		$2,150.34	$2,321.65	$2,452.36
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 $2,253.96 / $3,085.50 / $4,622.97	Professional		$2,253.96	$3,085.50	$4,622.97