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 $1,568.36 / $1,838.45 / $2,299.94	Professional		$1,568.36	$1,838.45	$2,299.94
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 $1,646.26 / $1,708.39 / $1,708.39	Professional		$1,646.26	$1,708.39	$1,708.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.82 / $2,126.87 / $3,326.56	Professional		$1,604.82	$2,126.87	$3,326.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,525.29 / $2,525.29 / $2,651.35	Professional		$2,525.29	$2,525.29	$2,651.35
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 $1,450.60 / $1,982.24 / $5,958.00	Professional		$1,450.60	$1,982.24	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,912.00 / $4,101.10	Professional		$25.00	$2,912.00	$4,101.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.55 / $2,127.40 / $3,326.56	Professional		$1,648.55	$2,127.40	$3,326.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,611.59 / $1,611.59 / $2,655.37	Facility		$1,611.59	$1,611.59	$2,655.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,541.96 / $1,640.13 / $2,655.37	Professional		$1,541.96	$1,640.13	$2,655.37
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 $1,621.18 / $2,101.63 / $3,304.80	Professional		$1,621.18	$2,101.63	$3,304.80