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 $2,166.69 / $2,535.94 / $3,804.16	Professional		$2,166.69	$2,535.94	$3,804.16
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,459.92 / $25,716.00 / $39,341.64	Facility		$8,459.92	$25,716.00	$39,341.64
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,800.36 / $2,906.04 / $2,906.04	Professional		$2,800.36	$2,906.04	$2,906.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,413.26 / $3,517.82 / $5,658.90	Professional		$2,413.26	$3,517.82	$5,658.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.93 / $4,730.70 / $4,730.70	Professional		$3,500.93	$4,730.70	$4,730.70
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 $2,166.69 / $2,682.14 / $7,189.99	Professional		$2,166.69	$2,682.14	$7,189.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,653.50 / $7,205.30	Professional		$11.00	$2,653.50	$7,205.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,413.26 / $3,517.82 / $5,658.90	Professional		$2,413.26	$3,517.82	$5,658.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,398.19 / $2,760.44 / $2,760.44	Facility		$2,398.19	$2,760.44	$2,760.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.19 / $2,760.44 / $2,941.90	Professional		$2,398.19	$2,760.44	$2,941.90
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,228.00	Facility		$625.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,602.78 / $3,536.12 / $5,578.97	Professional		$2,602.78	$3,536.12	$5,578.97