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 $1,698.05 / $1,955.54 / $2,448.26	Professional		$1,698.05	$1,955.54	$2,448.26
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 $1,751.51 / $1,817.61 / $1,817.61	Professional		$1,751.51	$1,817.61	$1,817.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.65 / $2,262.56 / $3,539.40	Professional		$1,727.65	$2,262.56	$3,539.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.60 / $2,684.60 / $2,820.91	Professional		$2,684.60	$2,684.60	$2,820.91
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 $1,542.91 / $2,109.07 / $5,958.00	Professional		$1,542.91	$2,109.07	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,265.30 / $4,361.00	Professional		$25.00	$3,265.30	$4,361.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,780.02 / $2,290.21 / $3,539.40	Professional		$1,780.02	$2,290.21	$3,539.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,715.09 / $1,715.09 / $3,181.76	Facility		$1,715.09	$1,715.09	$3,181.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,640.59 / $1,745.88 / $3,181.76	Professional		$1,640.59	$1,745.88	$3,181.76
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 $1,725.63 / $2,249.17 / $3,517.72	Professional		$1,725.63	$2,249.17	$3,517.72