Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,552.20 / $1,778.69 / $2,358.16	Professional		$1,552.20	$1,778.69	$2,358.16
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 $1,745.17 / $2,803.78 / $3,670.61	Professional		$1,745.17	$2,803.78	$3,670.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.65 / $2,460.40 / $3,796.59	Professional		$1,720.65	$2,460.40	$3,796.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.84 / $2,808.66 / $2,808.66	Professional		$2,095.84	$2,808.66	$2,808.66
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 $1,537.06 / $1,813.56 / $4,519.06	Professional		$1,537.06	$1,813.56	$4,519.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,124.30 / $4,340.80	Professional		$15.00	$3,124.30	$4,340.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.05 / $2,487.57 / $4,054.43	Professional		$1,737.05	$2,487.57	$4,054.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,681.05 / $1,711.71 / $1,711.71	Facility		$1,681.05	$1,711.71	$1,711.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,635.05 / $1,711.71 / $1,793.54	Professional		$1,635.05	$1,711.71	$1,793.54
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 $1,646.39 / $2,192.69 / $3,632.18	Professional		$1,646.39	$2,192.69	$3,632.18