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 $1,521.66 / $1,703.88 / $2,140.15	Professional		$1,521.66	$1,703.88	$2,140.15
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 $1,528.44 / $1,586.11 / $2,590.84	Professional		$1,528.44	$1,586.11	$2,590.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.77 / $1,979.13 / $3,068.33	Professional		$1,476.77	$1,979.13	$3,068.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,335.28 / $2,335.28 / $2,445.31	Professional		$2,335.28	$2,335.28	$2,445.31
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 $1,426.00 / $1,848.79 / $5,958.00	Professional		$1,426.00	$1,848.79	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,024.20 / $3,814.20	Professional		$15.00	$2,024.20	$3,814.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.02 / $1,983.34 / $3,068.33	Professional		$1,514.02	$1,983.34	$3,068.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,499.90 / $1,499.90 / $1,770.88	Facility		$1,499.90	$1,499.90	$1,770.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,435.43 / $1,526.23 / $1,770.88	Professional		$1,435.43	$1,526.23	$1,770.88
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.65 / $1,921.37 / $3,275.85	Professional		$1,443.65	$1,921.37	$3,275.85