Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,264.00 / $8,113.00	Facility		$1,301.00	$4,264.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.06 / $1,928.06 / $2,696.92	Professional		$1,702.06	$1,928.06	$2,696.92
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 $1,997.46 / $2,072.84 / $2,072.84	Professional		$1,997.46	$2,072.84	$2,072.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.81 / $2,543.94 / $4,184.57	Professional		$1,931.81	$2,543.94	$4,184.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.04 / $3,382.37 / $3,382.37	Professional		$2,498.04	$3,382.37	$3,382.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,247.00	Facility		$1,013.00	$5,342.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,696.45 / $2,039.56 / $5,958.00	Professional		$1,696.45	$2,039.56	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,203.50 / $4,967.60	Professional		$11.00	$2,203.50	$4,967.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.81 / $2,544.31 / $4,235.43	Professional		$1,931.81	$2,544.31	$4,235.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,946.31 / $1,946.31 / $2,036.43	Facility		$1,946.31	$1,946.31	$2,036.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,849.80 / $1,993.33 / $2,065.54	Professional		$1,849.80	$1,993.33	$2,065.54
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 $1,991.97 / $2,648.36 / $4,182.60	Professional		$1,991.97	$2,648.36	$4,182.60