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 $1,865.60 / $2,320.35 / $2,789.56	Professional		$1,865.60	$2,320.35	$2,789.56
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 $1,753.95 / $2,625.99 / $3,791.88	Professional		$1,753.95	$2,625.99	$3,791.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,959.12 / $2,660.54 / $4,136.64	Professional		$1,959.12	$2,660.54	$4,136.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.52 / $3,033.52 / $3,199.08	Professional		$3,033.52	$3,033.52	$3,199.08
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 $1,749.79 / $2,397.23 / $5,958.00	Professional		$1,749.79	$2,397.23	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,773.90 / $4,939.80	Professional		$25.00	$3,773.90	$4,939.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,053.96 / $2,655.46 / $4,175.25	Professional		$2,053.96	$2,655.46	$4,175.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,951.25 / $1,951.25 / $2,074.87	Facility		$1,951.25	$1,951.25	$2,074.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,863.56 / $1,989.07 / $2,074.87	Professional		$1,863.56	$1,989.07	$2,074.87
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 $1,968.54 / $2,659.11 / $4,092.10	Professional		$1,968.54	$2,659.11	$4,092.10