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 $1,506.27 / $1,735.83 / $2,293.25	Professional		$1,506.27	$1,735.83	$2,293.25
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 $1,703.13 / $1,767.40 / $1,767.40	Professional		$1,703.13	$1,767.40	$1,767.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.66 / $2,169.08 / $3,536.03	Professional		$1,495.66	$2,169.08	$3,536.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.05 / $2,742.41 / $2,742.41	Professional		$2,047.05	$2,742.41	$2,742.41
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 $1,506.27 / $1,769.86 / $4,423.64	Professional		$1,506.27	$1,769.86	$4,423.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,376.90 / $4,252.70	Professional		$12.00	$1,376.90	$4,252.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.85 / $2,209.51 / $3,696.31	Professional		$1,571.85	$2,209.51	$3,696.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,136.46 / $1,667.94 / $1,667.94	Facility		$1,136.46	$1,667.94	$1,667.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,136.46 / $1,667.94 / $1,749.60	Professional		$1,136.46	$1,667.94	$1,749.60
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 $1,450.50 / $2,088.75 / $3,540.45	Professional		$1,450.50	$2,088.75	$3,540.45