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 $1,610.96 / $1,822.13 / $2,286.78	Professional		$1,610.96	$1,822.13	$2,286.78
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 $1,635.78 / $1,697.51 / $2,511.04	Professional		$1,635.78	$1,697.51	$2,511.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.35 / $2,120.83 / $3,320.06	Professional		$1,620.35	$2,120.83	$3,320.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,504.71 / $2,504.71 / $2,618.04	Professional		$2,504.71	$2,504.71	$2,618.04
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 $1,450.74 / $1,978.37 / $5,958.00	Professional		$1,450.74	$1,978.37	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,962.60 / $4,088.00	Professional		$20.00	$2,962.60	$4,088.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.94 / $2,135.44 / $3,320.06	Professional		$1,683.94	$2,135.44	$3,320.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,603.88 / $1,603.88 / $2,551.46	Facility		$1,603.88	$1,603.88	$2,551.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,536.06 / $1,630.87 / $2,551.46	Professional		$1,536.06	$1,630.87	$2,551.46
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 $1,618.35 / $2,128.75 / $3,362.34	Professional		$1,618.35	$2,128.75	$3,362.34