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 $1,869.94 / $2,165.71 / $2,965.12	Professional		$1,869.94	$2,165.71	$2,965.12
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 $2,198.84 / $2,281.82 / $2,281.82	Professional		$2,198.84	$2,281.82	$2,281.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,125.15 / $2,800.41 / $4,600.20	Professional		$2,125.15	$2,800.41	$4,600.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,750.37 / $3,724.34 / $3,724.34	Professional		$2,750.37	$3,724.34	$3,724.34
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 $1,866.00 / $2,240.52 / $5,958.00	Professional		$1,866.00	$2,240.52	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,528.90 / $5,455.40	Professional		$15.00	$2,528.90	$5,455.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.15 / $2,800.41 / $4,677.22	Professional		$2,125.15	$2,800.41	$4,677.22
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,139.63 / $2,139.63 / $2,756.21	Facility		$2,139.63	$2,139.63	$2,756.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,032.74 / $2,191.54 / $2,756.21	Professional		$2,032.74	$2,191.54	$2,756.21
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 $2,226.27 / $2,974.10 / $4,659.43	Professional		$2,226.27	$2,974.10	$4,659.43