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 $1,731.81 / $1,938.79 / $2,527.21	Professional		$1,731.81	$1,938.79	$2,527.21
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 $1,664.10 / $1,957.77 / $1,957.77	Professional		$1,664.10	$1,957.77	$1,957.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.67 / $2,403.67 / $3,872.90	Professional		$1,716.67	$2,403.67	$3,872.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.86 / $2,977.84 / $2,998.76	Professional		$2,244.86	$2,977.84	$2,998.76
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 $1,717.32 / $1,976.80 / $5,107.38	Professional		$1,717.32	$1,976.80	$5,107.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,937.50 / $4,957.80	Professional		$6.00	$1,937.50	$4,957.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.79 / $2,444.77 / $3,992.96	Professional		$1,779.79	$2,444.77	$3,992.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,849.46 / $1,872.05 / $1,872.05	Facility		$1,849.46	$1,872.05	$1,872.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,824.35 / $1,872.05 / $1,985.95	Professional		$1,824.35	$1,872.05	$1,985.95
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 $1,576.81 / $2,313.73 / $4,057.91	Professional		$1,576.81	$2,313.73	$4,057.91