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 $1,623.51 / $1,927.38 / $2,481.76	Professional		$1,623.51	$1,927.38	$2,481.76
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 $1,775.90 / $1,842.92 / $1,842.92	Professional		$1,775.90	$1,842.92	$1,842.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,751.32 / $2,294.83 / $3,588.16	Professional		$1,751.32	$2,294.83	$3,588.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,721.58 / $2,721.58 / $2,859.86	Professional		$2,721.58	$2,721.58	$2,859.86
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 $1,623.51 / $1,927.38 / $4,276.24	Professional		$1,623.51	$1,927.38	$4,276.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,176.80 / $4,420.60	Professional		$25.00	$3,176.80	$4,420.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.36 / $2,322.21 / $3,588.16	Professional		$1,801.36	$2,322.21	$3,588.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,738.53 / $1,738.53 / $3,216.09	Facility		$1,738.53	$1,738.53	$3,216.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,663.00 / $1,769.76 / $3,216.09	Professional		$1,663.00	$1,769.76	$3,216.09
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 $1,687.71 / $2,227.06 / $3,558.44	Professional		$1,687.71	$2,227.06	$3,558.44