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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.82 / $1,863.78 / $2,161.02	Professional		$1,672.82	$1,863.78	$2,161.02
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 $1,357.14 / $2,571.21 / $3,792.63	Professional		$1,357.14	$2,571.21	$3,792.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.27 / $2,407.38 / $3,570.83	Professional		$1,522.27	$2,407.38	$3,570.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,341.52 / $2,341.52 / $2,460.66	Professional		$2,341.52	$2,341.52	$2,460.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,926.76 / $5,958.00	Professional		$1,426.00	$1,926.76	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $3,836.20	Professional		$15.00	$15.00	$3,836.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,669.21 / $2,416.05 / $3,643.08	Professional		$1,669.21	$2,416.05	$3,643.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,512.35 / $1,512.35 / $2,176.15	Facility		$1,512.35	$1,512.35	$2,176.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.09 / $1,540.97 / $2,176.15	Professional		$1,445.09	$1,540.97	$2,176.15
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 $1,535.26 / $2,238.73 / $3,239.01	Professional		$1,535.26	$2,238.73	$3,239.01