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 $1,821.31 / $2,101.42 / $2,769.10	Professional		$1,821.31	$2,101.42	$2,769.10
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 $1,637.55 / $2,449.27 / $3,537.33	Professional		$1,637.55	$2,449.27	$3,537.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.64 / $2,377.51 / $3,761.05	Professional		$1,810.64	$2,377.51	$3,761.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,833.65 / $2,833.65 / $2,986.82	Professional		$2,833.65	$2,833.65	$2,986.82
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 $1,633.72 / $2,237.69 / $5,958.00	Professional		$1,633.72	$2,237.69	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,350.90 / $4,612.60	Professional		$25.00	$3,350.90	$4,612.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.21 / $2,401.92 / $3,761.05	Professional		$1,852.21	$2,401.92	$3,761.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.39 / $1,821.08 / $1,821.08	Facility		$1,819.39	$1,821.08	$1,821.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,739.27 / $1,821.08 / $1,906.96	Professional		$1,739.27	$1,821.08	$1,906.96
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 $1,750.17 / $2,332.80 / $4,108.87	Professional		$1,750.17	$2,332.80	$4,108.87