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 $2,832.10 / $3,168.06 / $4,455.72	Professional		$2,832.10	$3,168.06	$4,455.72
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 $3,277.48 / $5,278.05 / $6,227.90	Professional		$3,277.48	$5,278.05	$6,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,109.38 / $4,244.72 / $6,927.83	Professional		$3,109.38	$4,244.72	$6,927.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,098.49 / $5,545.63 / $5,545.63	Professional		$4,098.49	$5,545.63	$5,545.63
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 $2,819.49 / $3,398.49 / $8,360.29	Professional		$2,819.49	$3,398.49	$8,360.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,394.80 / $8,318.20	Professional		$15.00	$3,394.80	$8,318.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,181.58 / $4,249.93 / $7,009.76	Professional		$3,181.58	$4,249.93	$7,009.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,100.58 / $3,222.25 / $3,222.25	Facility		$3,100.58	$3,222.25	$3,222.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,067.09 / $3,222.25 / $3,425.22	Professional		$3,067.09	$3,222.25	$3,425.22
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 $3,179.46 / $4,411.92 / $6,610.14	Professional		$3,179.46	$4,411.92	$6,610.14