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 $2,436.03 / $2,856.25 / $3,865.54	Professional		$2,436.03	$2,856.25	$3,865.54
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 $2,857.79 / $2,965.63 / $2,965.63	Professional		$2,857.79	$2,965.63	$2,965.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,763.34 / $3,645.25 / $5,990.88	Professional		$2,763.34	$3,645.25	$5,990.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,574.54 / $4,842.30 / $4,842.30	Professional		$3,574.54	$4,842.30	$4,842.30
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 $2,436.03 / $2,917.20 / $7,197.00	Professional		$2,436.03	$2,917.20	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,271.80 / $7,088.20	Professional		$15.00	$3,271.80	$7,088.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.34 / $3,645.25 / $6,090.74	Professional		$2,763.34	$3,645.25	$6,090.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,786.46 / $2,786.46 / $2,917.75	Facility		$2,786.46	$2,786.46	$2,917.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,644.12 / $2,856.85 / $2,954.67	Professional		$2,644.12	$2,856.85	$2,954.67
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 $2,891.35 / $3,763.68 / $5,787.04	Professional		$2,891.35	$3,763.68	$5,787.04