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 $3,122.52 / $3,707.12 / $5,698.62	Professional		$3,122.52	$3,707.12	$5,698.62
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 $3,660.93 / $3,799.08 / $3,799.08	Professional		$3,660.93	$3,799.08	$3,799.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,540.89 / $4,737.77 / $7,679.96	Professional		$3,540.89	$4,737.77	$7,679.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,579.22 / $6,206.11 / $6,206.11	Professional		$4,579.22	$6,206.11	$6,206.11
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 $3,122.52 / $3,767.73 / $11,097.90	Professional		$3,122.52	$3,767.73	$11,097.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,147.10 / $9,058.00	Professional		$15.00	$4,147.10	$9,058.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,540.89 / $4,737.77 / $7,847.92	Professional		$3,540.89	$4,737.77	$7,847.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,228.37 / $3,572.07 / $3,572.07	Facility		$3,228.37	$3,572.07	$3,572.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,228.37 / $3,572.07 / $3,784.45	Professional		$3,228.37	$3,572.07	$3,784.45
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 $3,730.01 / $4,922.72 / $7,363.43	Professional		$3,730.01	$4,922.72	$7,363.43