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 $1,835.55 / $2,217.44 / $3,538.19	Professional		$1,835.55	$2,217.44	$3,538.19
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 $2,418.11 / $2,509.36 / $2,509.36	Professional		$2,418.11	$2,509.36	$2,509.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,090.89 / $3,081.93 / $4,897.05	Professional		$2,090.89	$3,081.93	$4,897.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,024.25 / $4,094.04 / $4,094.04	Professional		$3,024.25	$4,094.04	$4,094.04
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 $1,835.55 / $2,467.09 / $6,069.04	Professional		$1,835.55	$2,467.09	$6,069.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,724.70 / $6,015.30	Professional		$11.00	$2,724.70	$6,015.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,248.73 / $3,067.40 / $4,897.05	Professional		$2,248.73	$3,067.40	$4,897.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,354.96 / $2,354.96 / $2,397.63	Facility		$2,354.96	$2,354.96	$2,397.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.10 / $2,397.63 / $2,500.29	Professional		$2,238.10	$2,397.63	$2,500.29
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 $2,427.21 / $3,200.24 / $4,858.08	Professional		$2,427.21	$3,200.24	$4,858.08