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 $1,926.08 / $2,198.87 / $2,753.42	Professional		$1,926.08	$2,198.87	$2,753.42
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 $1,967.04 / $2,041.27 / $2,041.27	Professional		$1,967.04	$2,041.27	$2,041.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.03 / $2,517.88 / $3,978.92	Professional		$1,908.03	$2,517.88	$3,978.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,008.16 / $3,008.16 / $3,166.25	Professional		$3,008.16	$3,008.16	$3,166.25
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 $1,731.96 / $2,370.96 / $5,958.00	Professional		$1,731.96	$2,370.96	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,511.10 / $4,894.30	Professional		$25.00	$3,511.10	$4,894.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.72 / $2,542.23 / $3,978.92	Professional		$1,955.72	$2,542.23	$3,978.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,927.61 / $1,927.61 / $3,229.38	Facility		$1,927.61	$1,927.61	$3,229.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,842.73 / $1,963.41 / $3,229.38	Professional		$1,842.73	$1,963.41	$3,229.38
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 $1,938.99 / $2,428.52 / $3,947.94	Professional		$1,938.99	$2,428.52	$3,947.94