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 $1,559.69 / $1,778.51 / $2,212.96	Professional		$1,559.69	$1,778.51	$2,212.96
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 $1,583.60 / $1,643.36 / $1,643.36	Professional		$1,583.60	$1,643.36	$1,643.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.65 / $2,052.71 / $3,212.71	Professional		$1,568.65	$2,052.71	$3,212.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.33 / $2,424.33 / $2,535.05	Professional		$2,424.33	$2,424.33	$2,535.05
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 / $1,914.40 / $5,958.00	Professional		$1,426.00	$1,914.40	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,577.50 / $3,955.30	Professional		$20.00	$2,577.50	$3,955.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.66 / $2,066.55 / $3,212.71	Professional		$1,617.66	$2,066.55	$3,212.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,552.02 / $1,552.02 / $1,657.77	Facility		$1,552.02	$1,552.02	$1,657.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,486.33 / $1,578.22 / $1,657.77	Professional		$1,486.33	$1,578.22	$1,657.77
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 $1,492.05 / $1,997.90 / $3,193.63	Professional		$1,492.05	$1,997.90	$3,193.63