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 $1,797.70 / $1,994.28 / $2,847.49	Professional		$1,797.70	$1,994.28	$2,847.49
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 $1,863.61 / $2,973.04 / $3,977.69	Professional		$1,863.61	$2,973.04	$3,977.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,993.16 / $2,690.77 / $4,422.42	Professional		$1,993.16	$2,690.77	$4,422.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,642.23 / $3,576.17 / $3,576.17	Professional		$2,642.23	$3,576.17	$3,576.17
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 $1,797.70 / $2,155.48 / $5,302.51	Professional		$1,797.70	$2,155.48	$5,302.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,698.70 / $5,260.60	Professional		$11.00	$3,698.70	$5,260.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.88 / $2,685.10 / $4,466.47	Professional		$2,041.88	$2,685.10	$4,466.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,881.12 / $1,888.56 / $2,056.94	Facility		$1,881.12	$1,888.56	$2,056.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,881.12 / $2,056.94 / $2,184.65	Professional		$1,881.12	$2,056.94	$2,184.65
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 $2,060.27 / $2,753.10 / $4,184.14	Professional		$2,060.27	$2,753.10	$4,184.14