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 $1,430.38 / $1,653.48 / $2,190.55	Professional		$1,430.38	$1,653.48	$2,190.55
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 $1,623.60 / $1,684.87 / $1,684.87	Professional		$1,623.60	$1,684.87	$1,684.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.16 / $2,124.46 / $3,511.78	Professional		$1,581.16	$2,124.46	$3,511.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.83 / $2,613.94 / $2,613.94	Professional		$1,950.83	$2,613.94	$2,613.94
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 $1,430.38 / $1,685.90 / $4,207.12	Professional		$1,430.38	$1,685.90	$4,207.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,229.69 / $4,042.80	Professional		$10.00	$2,229.69	$4,042.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.11 / $2,139.59 / $3,518.00	Professional		$1,603.11	$2,139.59	$3,518.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,590.95 / $1,590.95 / $1,836.03	Facility		$1,590.95	$1,590.95	$1,836.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,521.44 / $1,619.93 / $1,836.03	Professional		$1,521.44	$1,619.93	$1,836.03
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 $1,444.99 / $2,012.51 / $3,324.51	Professional		$1,444.99	$2,012.51	$3,324.51