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 $1,681.75 / $1,897.86 / $2,419.67	Professional		$1,681.75	$1,897.86	$2,419.67
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 $1,727.47 / $1,792.66 / $1,792.66	Professional		$1,727.47	$1,792.66	$1,792.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,701.96 / $2,234.84 / $3,492.81	Professional		$1,701.96	$2,234.84	$3,492.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,638.33 / $2,638.33 / $2,779.97	Professional		$2,638.33	$2,638.33	$2,779.97
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 $1,519.94 / $2,071.69 / $5,958.00	Professional		$1,519.94	$2,071.69	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,115.30 / $4,292.50	Professional		$25.00	$3,115.30	$4,292.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.36 / $2,260.34 / $3,492.81	Professional		$1,756.36	$2,260.34	$3,492.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,693.22 / $1,693.22 / $2,473.78	Facility		$1,693.22	$1,693.22	$2,473.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,618.54 / $1,725.37 / $2,473.78	Professional		$1,618.54	$1,725.37	$2,473.78
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 $1,709.04 / $2,222.56 / $3,483.90	Professional		$1,709.04	$2,222.56	$3,483.90