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 $2,189.38 / $2,504.89 / $3,471.80	Professional		$2,189.38	$2,504.89	$3,471.80
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 $2,266.46 / $3,415.00 / $4,937.13	Professional		$2,266.46	$3,415.00	$4,937.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,484.66 / $3,272.44 / $5,383.98	Professional		$2,484.66	$3,272.44	$5,383.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,213.57 / $4,352.18 / $4,352.18	Professional		$3,213.57	$4,352.18	$4,352.18
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 $2,174.10 / $2,622.70 / $6,451.84	Professional		$2,174.10	$2,622.70	$6,451.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,517.30 / $6,380.20	Professional		$11.00	$4,517.30	$6,380.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.66 / $3,277.07 / $5,484.97	Professional		$2,484.66	$3,277.07	$5,484.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,318.56 / $2,504.17 / $2,504.17	Facility		$2,318.56	$2,504.17	$2,504.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,318.56 / $2,504.17 / $2,656.47	Professional		$2,318.56	$2,504.17	$2,656.47
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 $2,574.75 / $3,489.12 / $5,466.29	Professional		$2,574.75	$3,489.12	$5,466.29