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 $1,845.81 / $2,104.31 / $2,805.26	Professional		$1,845.81	$2,104.31	$2,805.26
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 $1,881.18 / $1,952.17 / $1,952.17	Professional		$1,881.18	$1,952.17	$1,952.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,840.75 / $2,422.92 / $3,804.70	Professional		$1,840.75	$2,422.92	$3,804.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.04 / $2,871.04 / $3,026.91	Professional		$2,871.04	$2,871.04	$3,026.91
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 $1,654.92 / $2,257.17 / $5,361.90	Professional		$1,654.92	$2,257.17	$5,361.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,392.60 / $4,673.00	Professional		$25.00	$3,392.60	$4,673.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,876.71 / $2,433.30 / $3,804.70	Professional		$1,876.71	$2,433.30	$3,804.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,844.53 / $1,844.53 / $2,583.87	Facility		$1,844.53	$1,844.53	$2,583.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,761.93 / $1,879.96 / $2,583.87	Professional		$1,761.93	$1,879.96	$2,583.87
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 $1,793.49 / $2,362.84 / $3,795.42	Professional		$1,793.49	$2,362.84	$3,795.42