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 $2,113.19 / $2,470.10 / $3,293.68	Professional		$2,113.19	$2,470.10	$3,293.68
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 $2,132.23 / $3,432.09 / $4,591.01	Professional		$2,132.23	$3,432.09	$4,591.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,351.12 / $3,242.96 / $5,153.22	Professional		$2,351.12	$3,242.96	$5,153.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,848.79 / $3,778.58 / $3,778.58	Professional		$2,848.79	$3,778.58	$3,778.58
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 $2,113.19 / $2,529.40 / $6,076.45	Professional		$2,113.19	$2,529.40	$6,076.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,899.60 / $6,202.60	Professional		$11.00	$2,899.60	$6,202.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,351.12 / $3,177.53 / $5,215.35	Professional		$2,351.12	$3,177.53	$5,215.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,396.85 / $2,396.85 / $2,562.88	Facility		$2,396.85	$2,396.85	$2,562.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,325.69 / $2,406.64 / $2,562.88	Professional		$2,325.69	$2,406.64	$2,562.88
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 $2,464.28 / $3,226.91 / $4,865.38	Professional		$2,464.28	$3,226.91	$4,865.38