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 $1,561.19 / $1,763.64 / $2,238.71	Professional		$1,561.19	$1,763.64	$2,238.71
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 $1,529.01 / $2,478.66 / $3,347.49	Professional		$1,529.01	$2,478.66	$3,347.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.81 / $2,277.96 / $3,528.31	Professional		$1,683.81	$2,277.96	$3,528.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,045.57 / $2,713.27 / $2,713.27	Professional		$2,045.57	$2,713.27	$2,713.27
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 $1,561.19 / $1,786.70 / $4,591.74	Professional		$1,561.19	$1,786.70	$4,591.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,088.69 / $4,440.00	Professional		$11.00	$2,088.69	$4,440.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.96 / $2,329.04 / $3,845.12	Professional		$1,706.96	$2,329.04	$3,845.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,714.90 / $1,714.90 / $1,749.10	Facility		$1,714.90	$1,714.90	$1,749.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,664.77 / $1,721.06 / $1,806.94	Professional		$1,664.77	$1,721.06	$1,806.94
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 $1,593.81 / $2,184.63 / $3,484.49	Professional		$1,593.81	$2,184.63	$3,484.49