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 $2,231.71 / $2,574.92 / $3,539.77	Professional		$2,231.71	$2,574.92	$3,539.77
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 $2,617.33 / $2,716.10 / $2,716.10	Professional		$2,617.33	$2,716.10	$2,716.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,530.50 / $3,333.39 / $5,486.33	Professional		$2,530.50	$3,333.39	$5,486.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,274.02 / $4,435.26 / $4,435.26	Professional		$3,274.02	$4,435.26	$4,435.26
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 $2,220.76 / $2,672.72 / $6,574.89	Professional		$2,220.76	$2,672.72	$6,574.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,016.20 / $6,494.50	Professional		$15.00	$3,016.20	$6,494.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,530.50 / $3,337.12 / $5,573.90	Professional		$2,530.50	$3,337.12	$5,573.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,551.78 / $2,551.78 / $2,814.87	Facility		$2,551.78	$2,551.78	$2,814.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,421.58 / $2,616.10 / $2,814.87	Professional		$2,421.58	$2,616.10	$2,814.87
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 $2,644.41 / $3,484.25 / $5,221.02	Professional		$2,644.41	$3,484.25	$5,221.02