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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.44 / $1,914.35 / $3,193.89	Professional		$1,726.44	$1,914.35	$3,193.89
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 $2,068.98 / $2,147.06 / $2,147.06	Professional		$2,068.98	$2,147.06	$2,147.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.73 / $2,537.44 / $4,170.67	Professional		$1,761.73	$2,537.44	$4,170.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,586.28 / $3,490.58 / $3,490.58	Professional		$2,586.28	$3,490.58	$3,490.58
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 $1,726.44 / $2,156.96 / $5,306.15	Professional		$1,726.44	$2,156.96	$5,306.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,909.00 / $5,349.30	Professional		$11.00	$1,909.00	$5,349.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.73 / $2,537.44 / $4,170.67	Professional		$1,761.73	$2,537.44	$4,170.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,648.90 / $2,034.47 / $2,034.47	Facility		$1,648.90	$2,034.47	$2,034.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,648.90 / $2,034.47 / $2,172.98	Professional		$1,648.90	$2,034.47	$2,172.98
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 $1,856.82 / $2,599.86 / $4,173.22	Professional		$1,856.82	$2,599.86	$4,173.22