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 $1,360.14 / $1,678.93 / $2,100.26	Professional		$1,360.14	$1,678.93	$2,100.26
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 $1,504.62 / $1,561.40 / $1,561.40	Professional		$1,504.62	$1,561.40	$1,561.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.28 / $1,942.12 / $3,038.42	Professional		$1,466.28	$1,942.12	$3,038.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,310.66 / $2,310.66 / $2,424.03	Professional		$2,310.66	$2,310.66	$2,424.03
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 $1,360.14 / $1,798.59 / $3,621.10	Professional		$1,360.14	$1,798.59	$3,621.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,713.50 / $3,749.00	Professional		$20.00	$2,713.50	$3,749.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.42 / $1,942.73 / $3,038.42	Professional		$1,490.42	$1,942.73	$3,038.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,472.17 / $1,472.17 / $2,116.42	Facility		$1,472.17	$1,472.17	$2,116.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,409.02 / $1,497.77 / $2,116.42	Professional		$1,409.02	$1,497.77	$2,116.42
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 $1,411.18 / $1,917.79 / $3,110.35	Professional		$1,411.18	$1,917.79	$3,110.35