Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,900.51 / $2,122.94 / $3,048.05	Professional		$1,900.51	$2,122.94	$3,048.05
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 $1,989.36 / $3,177.86 / $4,306.80	Professional		$1,989.36	$3,177.86	$4,306.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,181.51 / $2,872.33 / $4,727.09	Professional		$2,181.51	$2,872.33	$4,727.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,820.48 / $3,819.67 / $3,819.67	Professional		$2,820.48	$3,819.67	$3,819.67
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 $1,900.51 / $2,303.38 / $5,666.31	Professional		$1,900.51	$2,303.38	$5,666.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,960.90 / $5,604.40	Professional		$11.00	$3,960.90	$5,604.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.51 / $2,877.40 / $4,808.84	Professional		$2,181.51	$2,877.40	$4,808.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,120.12 / $2,198.65 / $2,198.65	Facility		$2,120.12	$2,198.65	$2,198.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,087.46 / $2,198.65 / $2,332.46	Professional		$2,087.46	$2,198.65	$2,332.46
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 $2,144.77 / $2,972.67 / $4,557.56	Professional		$2,144.77	$2,972.67	$4,557.56