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 $2,830.56 / $3,088.66 / $4,435.16	Professional		$2,830.56	$3,088.66	$4,435.16
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 $2,873.83 / $4,513.55 / $6,150.80	Professional		$2,873.83	$4,513.55	$6,150.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,073.62 / $4,145.70 / $6,902.02	Professional		$3,073.62	$4,145.70	$6,902.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.32 / $5,506.34 / $5,506.34	Professional		$4,073.32	$5,506.34	$5,506.34
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 $2,816.78 / $3,405.00 / $8,376.29	Professional		$2,816.78	$3,405.00	$8,376.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,150.90 / $8,378.70	Professional		$11.00	$3,150.90	$8,378.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,161.52 / $4,149.39 / $6,902.02	Professional		$3,161.52	$4,149.39	$6,902.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,907.04 / $3,215.37 / $3,215.37	Facility		$2,907.04	$3,215.37	$3,215.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,907.04 / $3,215.37 / $3,424.28	Professional		$2,907.04	$3,215.37	$3,424.28
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 $3,055.13 / $4,278.00 / $6,497.16	Professional		$3,055.13	$4,278.00	$6,497.16