Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.05 / $4,117.56 / $8,247.00	Facility		$1,042.05	$4,117.56	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,440.56 / $3,876.94 / $5,464.60	Professional		$3,440.56	$3,876.94	$5,464.60
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 $4,032.63 / $4,184.81 / $4,184.81	Professional		$4,032.63	$4,184.81	$4,184.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,804.37 / $5,160.54 / $8,460.14	Professional		$3,804.37	$5,160.54	$8,460.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,044.28 / $6,836.26 / $6,836.26	Professional		$5,044.28	$6,836.26	$6,836.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,398.72 / $4,117.56 / $10,129.20	Professional		$3,398.72	$4,117.56	$10,129.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,998.20 / $9,983.00	Professional		$15.00	$3,998.20	$9,983.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,870.75 / $5,160.54 / $8,631.74	Professional		$3,870.75	$5,160.54	$8,631.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,475.84 / $3,934.95 / $3,934.95	Facility		$3,475.84	$3,934.95	$3,934.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,475.84 / $3,934.95 / $4,169.17	Professional		$3,475.84	$3,934.95	$4,169.17
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 $3,879.27 / $5,350.18 / $8,129.83	Professional		$3,879.27	$5,350.18	$8,129.83