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 $1,416.88 / $1,699.51 / $2,170.12	Professional		$1,416.88	$1,699.51	$2,170.12
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 $1,554.07 / $1,612.71 / $1,612.71	Professional		$1,554.07	$1,612.71	$1,612.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.13 / $2,006.31 / $3,138.05	Professional		$1,536.13	$2,006.31	$3,138.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,385.53 / $2,385.53 / $2,503.55	Professional		$2,385.53	$2,385.53	$2,503.55
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 $1,416.88 / $1,857.88 / $3,739.82	Professional		$1,416.88	$1,857.88	$3,739.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,802.20 / $3,870.60	Professional		$20.00	$2,802.20	$3,870.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.49 / $2,031.15 / $3,138.05	Professional		$1,594.49	$2,031.15	$3,138.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,520.95 / $1,520.95 / $2,393.37	Facility		$1,520.95	$1,520.95	$2,393.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,455.54 / $1,547.58 / $2,393.37	Professional		$1,455.54	$1,547.58	$2,393.37
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 $1,528.43 / $2,007.64 / $3,115.71	Professional		$1,528.43	$2,007.64	$3,115.71