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 $1,629.08 / $1,823.04 / $2,285.37	Professional		$1,629.08	$1,823.04	$2,285.37
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 $1,635.51 / $1,697.22 / $1,697.22	Professional		$1,635.51	$1,697.22	$1,697.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.08 / $2,120.61 / $3,316.74	Professional		$1,620.08	$2,120.61	$3,316.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.41 / $2,505.41 / $2,618.07	Professional		$2,505.41	$2,505.41	$2,618.07
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 $1,450.02 / $1,976.39 / $5,958.00	Professional		$1,450.02	$1,976.39	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,991.70 / $4,085.30	Professional		$20.00	$2,991.70	$4,085.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,694.71 / $2,131.73 / $3,316.74	Professional		$1,694.71	$2,131.73	$3,316.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,603.00 / $1,603.00 / $1,729.33	Facility		$1,603.00	$1,603.00	$1,729.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,535.32 / $1,629.87 / $1,729.33	Professional		$1,535.32	$1,629.87	$1,729.33
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 $1,564.60 / $2,084.98 / $3,288.56	Professional		$1,564.60	$2,084.98	$3,288.56