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 $1,640.12 / $1,894.00 / $2,369.37	Professional		$1,640.12	$1,894.00	$2,369.37
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 $1,695.09 / $1,759.05 / $1,759.05	Professional		$1,695.09	$1,759.05	$1,759.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.10 / $2,190.17 / $3,426.11	Professional		$1,679.10	$2,190.17	$3,426.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,599.19 / $2,599.19 / $2,729.19	Professional		$2,599.19	$2,599.19	$2,729.19
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 $1,493.93 / $2,041.56 / $5,958.00	Professional		$1,493.93	$2,041.56	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,033.70 / $4,222.89	Professional		$25.00	$3,033.70	$4,222.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,218.26 / $3,426.11	Professional		$1,700.00	$2,218.26	$3,426.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,660.06 / $1,660.06 / $2,912.13	Facility		$1,660.06	$1,660.06	$2,912.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,588.17 / $1,689.63 / $2,912.13	Professional		$1,588.17	$1,689.63	$2,912.13
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 $1,669.80 / $2,133.89 / $3,403.91	Professional		$1,669.80	$2,133.89	$3,403.91