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 $1,542.09 / $1,783.54 / $2,361.96	Professional		$1,542.09	$1,783.54	$2,361.96
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 $1,750.27 / $1,816.32 / $1,816.32	Professional		$1,750.27	$1,816.32	$1,816.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.30 / $2,359.73 / $3,713.69	Professional		$1,694.30	$2,359.73	$3,713.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.00 / $2,818.03 / $2,818.03	Professional		$2,103.00	$2,818.03	$2,818.03
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 $1,542.09 / $1,818.51 / $4,537.06	Professional		$1,542.09	$1,818.51	$4,537.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,476.90 / $4,359.60	Professional		$18.00	$2,476.90	$4,359.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.87 / $2,375.92 / $3,997.12	Professional		$1,737.87	$2,375.92	$3,997.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,715.33 / $1,715.33 / $2,027.45	Facility		$1,715.33	$1,715.33	$2,027.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,640.29 / $1,746.68 / $2,027.45	Professional		$1,640.29	$1,746.68	$2,027.45
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 $1,575.83 / $2,146.56 / $3,583.72	Professional		$1,575.83	$2,146.56	$3,583.72