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 $2,455.39 / $2,682.05 / $3,856.69	Professional		$2,455.39	$2,682.05	$3,856.69
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 $2,838.48 / $2,945.59 / $2,945.59	Professional		$2,838.48	$2,945.59	$2,945.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,677.81 / $3,604.76 / $6,014.86	Professional		$2,677.81	$3,604.76	$6,014.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.96 / $4,796.39 / $4,796.39	Professional		$3,548.96	$4,796.39	$4,796.39
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 $2,454.44 / $2,961.74 / $7,285.88	Professional		$2,454.44	$2,961.74	$7,285.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,737.30 / $7,296.50	Professional		$11.00	$2,737.30	$7,296.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,715.19 / $3,604.76 / $6,040.54	Professional		$2,715.19	$3,604.76	$6,040.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,390.32 / $2,797.61 / $2,797.61	Facility		$2,390.32	$2,797.61	$2,797.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,390.32 / $2,797.61 / $2,980.76	Professional		$2,390.32	$2,797.61	$2,980.76
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 $2,606.33 / $3,746.76 / $6,017.72	Professional		$2,606.33	$3,746.76	$6,017.72