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 $1,572.23 / $1,974.13 / $4,421.89	Professional		$1,572.23	$1,974.13	$4,421.89
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 $1,786.64 / $1,854.06 / $1,854.06	Professional		$1,786.64	$1,854.06	$1,854.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.91 / $2,299.13 / $3,614.31	Professional		$1,729.91	$2,299.13	$3,614.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,727.94 / $2,727.94 / $2,874.47	Professional		$2,727.94	$2,727.94	$2,874.47
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 $1,572.23 / $1,998.06 / $4,585.54	Professional		$1,572.23	$1,998.06	$4,585.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,221.50 / $4,440.39	Professional		$25.00	$3,221.50	$4,440.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.78 / $2,302.19 / $3,614.31	Professional		$1,769.78	$2,302.19	$3,614.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,752.19 / $1,752.19 / $1,935.02	Facility		$1,752.19	$1,752.19	$1,935.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,674.10 / $1,785.71 / $1,935.02	Professional		$1,674.10	$1,785.71	$1,935.02
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 $1,683.59 / $2,183.33 / $3,593.42	Professional		$1,683.59	$2,183.33	$3,593.42