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 $1,414.96 / $1,594.17 / $1,999.10	Professional		$1,414.96	$1,594.17	$1,999.10
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 $1,431.47 / $1,485.48 / $1,485.48	Professional		$1,431.47	$1,485.48	$1,485.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.61 / $1,843.45 / $2,903.73	Professional		$1,417.61	$1,843.45	$2,903.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,194.11 / $2,194.11 / $2,291.98	Professional		$2,194.11	$2,194.11	$2,291.98
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 $1,377.22 / $1,730.28 / $5,958.00	Professional		$1,377.22	$1,730.28	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,166.69 / $3,578.20	Professional		$15.00	$2,166.69	$3,578.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.51 / $1,855.14 / $2,903.73	Professional		$1,428.51	$1,855.14	$2,903.73
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,346.59 / $1,402.57 / $1,402.57	Facility		$1,346.59	$1,402.57	$1,402.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,343.68 / $1,402.57 / $1,469.98	Professional		$1,343.68	$1,402.57	$1,469.98
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.21 / $1,797.08 / $2,875.47	Professional		$1,347.21	$1,797.08	$2,875.47