Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.97 / $1,958.19 / $2,451.64	Professional		$1,724.97	$1,958.19	$2,451.64
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 $1,753.10 / $1,819.26 / $1,819.26	Professional		$1,753.10	$1,819.26	$1,819.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.57 / $2,265.81 / $3,543.96	Professional		$1,729.57	$2,265.81	$3,543.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,686.08 / $2,686.08 / $2,822.56	Professional		$2,686.08	$2,686.08	$2,822.56
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 $1,544.50 / $2,111.79 / $5,958.00	Professional		$1,544.50	$2,111.79	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,095.50 / $4,365.50	Professional		$25.00	$3,095.50	$4,365.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.24 / $2,293.14 / $3,543.96	Professional		$1,745.24	$2,293.14	$3,543.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,717.25 / $1,717.25 / $3,066.97	Facility		$1,717.25	$1,717.25	$3,066.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,642.47 / $1,748.27 / $3,066.97	Professional		$1,642.47	$1,748.27	$3,066.97
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,728.70 / $2,208.77 / $3,523.98	Professional		$1,728.70	$2,208.77	$3,523.98