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 $2,302.31 / $2,720.51 / $3,981.54	Professional		$2,302.31	$2,720.51	$3,981.54
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 $3,029.90 / $3,144.24 / $3,144.24	Professional		$3,029.90	$3,144.24	$3,144.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,858.40 / $3,801.02 / $5,612.33	Professional		$2,858.40	$3,801.02	$5,612.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,788.77 / $5,124.96 / $5,124.96	Professional		$3,788.77	$5,124.96	$5,124.96
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 $2,302.31 / $2,789.46 / $6,692.45	Professional		$2,302.31	$2,789.46	$6,692.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,972.20 / $6,743.50	Professional		$11.00	$2,972.20	$6,743.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,865.98 / $3,801.02 / $6,182.23	Professional		$2,865.98	$3,801.02	$6,182.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,595.48 / $2,610.38 / $2,610.38	Facility		$2,595.48	$2,610.38	$2,610.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.42 / $2,610.38 / $2,757.17	Professional		$2,511.42	$2,610.38	$2,757.17
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 $2,715.42 / $3,530.05 / $5,434.91	Professional		$2,715.42	$3,530.05	$5,434.91