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 $1,658.91 / $1,982.93 / $2,607.80	Professional		$1,658.91	$1,982.93	$2,607.80
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 $1,604.21 / $2,361.23 / $3,434.54	Professional		$1,604.21	$2,361.23	$3,434.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,795.89 / $2,348.62 / $3,677.13	Professional		$1,795.89	$2,348.62	$3,677.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,790.60 / $2,790.60 / $2,929.11	Professional		$2,790.60	$2,790.60	$2,929.11
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 $1,603.38 / $2,030.30 / $4,382.28	Professional		$1,603.38	$2,030.30	$4,382.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,260.40 / $4,534.50	Professional		$25.00	$3,260.40	$4,534.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.90 / $2,378.35 / $3,677.13	Professional		$1,811.90	$2,378.35	$3,677.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,780.88 / $1,780.88 / $1,848.21	Facility		$1,780.88	$1,780.88	$1,848.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,704.13 / $1,812.24 / $1,868.47	Professional		$1,704.13	$1,812.24	$1,868.47
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 $1,789.85 / $2,294.01 / $3,648.62	Professional		$1,789.85	$2,294.01	$3,648.62