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 $1,570.26 / $1,792.62 / $2,243.71	Professional		$1,570.26	$1,792.62	$2,243.71
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 $1,603.59 / $1,664.10 / $1,664.10	Professional		$1,603.59	$1,664.10	$1,664.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.16 / $2,042.31 / $3,242.97	Professional		$1,562.16	$2,042.31	$3,242.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.19 / $2,456.19 / $2,581.23	Professional		$2,456.19	$2,456.19	$2,581.23
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 / $1,932.43 / $5,958.00	Professional		$1,426.00	$1,932.43	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,680.80 / $3,994.20	Professional		$20.00	$2,680.80	$3,994.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.65 / $2,072.44 / $3,242.97	Professional		$1,607.65	$2,072.44	$3,242.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,571.53 / $1,571.53 / $1,692.84	Facility		$1,571.53	$1,571.53	$1,692.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,503.03 / $1,600.00 / $1,692.84	Professional		$1,503.03	$1,600.00	$1,692.84
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 $1,526.37 / $2,013.13 / $3,283.24	Professional		$1,526.37	$2,013.13	$3,283.24