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 $1,559.50 / $1,801.57 / $2,386.15	Professional		$1,559.50	$1,801.57	$2,386.15
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 $1,560.29 / $2,505.53 / $3,438.49	Professional		$1,560.29	$2,505.53	$3,438.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.39 / $2,364.31 / $3,867.95	Professional		$1,724.39	$2,364.31	$3,867.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.89 / $2,848.41 / $2,848.41	Professional		$2,125.89	$2,848.41	$2,848.41
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 $1,559.50 / $1,836.90 / $4,587.27	Professional		$1,559.50	$1,836.90	$4,587.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,268.90 / $4,409.00	Professional		$15.00	$2,268.90	$4,409.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.22 / $2,420.21 / $4,071.10	Professional		$1,754.22	$2,420.21	$4,071.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,582.27 / $1,733.49 / $1,852.74	Facility		$1,582.27	$1,733.49	$1,852.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,582.27 / $1,764.61 / $1,852.74	Professional		$1,582.27	$1,764.61	$1,852.74
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 $1,616.76 / $2,191.98 / $3,669.87	Professional		$1,616.76	$2,191.98	$3,669.87