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 $1,894.64 / $2,115.78 / $2,750.49	Professional		$1,894.64	$2,115.78	$2,750.49
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 $1,669.03 / $2,504.75 / $3,626.55	Professional		$1,669.03	$2,504.75	$3,626.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.68 / $2,461.85 / $3,840.36	Professional		$1,872.68	$2,461.85	$3,840.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.97 / $2,892.97 / $3,027.98	Professional		$2,892.97	$2,892.97	$3,027.98
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 $1,677.16 / $2,158.92 / $4,576.80	Professional		$1,677.16	$2,158.92	$4,576.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,360.10 / $4,724.00	Professional		$20.00	$2,360.10	$4,724.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.82 / $2,467.00 / $3,840.36	Professional		$1,896.82	$2,467.00	$3,840.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,666.43 / $1,855.87 / $1,855.87	Facility		$1,666.43	$1,855.87	$1,855.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,666.43 / $1,855.87 / $1,943.28	Professional		$1,666.43	$1,855.87	$1,943.28
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 $1,802.44 / $2,457.55 / $3,848.35	Professional		$1,802.44	$2,457.55	$3,848.35