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 $2,160.83 / $2,350.50 / $3,396.09	Professional		$2,160.83	$2,350.50	$3,396.09
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 $2,495.38 / $2,589.54 / $2,589.54	Professional		$2,495.38	$2,589.54	$2,589.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,354.13 / $3,160.90 / $5,194.45	Professional		$2,354.13	$3,160.90	$5,194.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,118.35 / $4,203.47 / $4,203.47	Professional		$3,118.35	$4,203.47	$4,203.47
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 $2,160.83 / $2,648.29 / $6,514.79	Professional		$2,160.83	$2,648.29	$6,514.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,130.40 / $6,614.90	Professional		$11.00	$2,130.40	$6,614.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,354.13 / $3,178.07 / $5,194.45	Professional		$2,354.13	$3,178.07	$5,194.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,997.95 / $2,478.79 / $2,478.79	Facility		$1,997.95	$2,478.79	$2,478.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,997.95 / $2,478.79 / $2,654.28	Professional		$1,997.95	$2,478.79	$2,654.28
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 $2,180.29 / $3,238.82 / $4,926.21	Professional		$2,180.29	$3,238.82	$4,926.21