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 $1,798.43 / $2,069.96 / $2,596.17	Professional		$1,798.43	$2,069.96	$2,596.17
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 $1,630.26 / $2,447.01 / $3,532.85	Professional		$1,630.26	$2,447.01	$3,532.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.14 / $2,374.35 / $3,744.06	Professional		$1,799.14	$2,374.35	$3,744.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,815.19 / $2,815.19 / $2,972.12	Professional		$2,815.19	$2,815.19	$2,972.12
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 $1,626.60 / $2,231.02 / $5,958.00	Professional		$1,626.60	$2,231.02	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,335.00 / $4,592.39	Professional		$25.00	$3,335.00	$4,592.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.55 / $2,393.94 / $3,744.06	Professional		$1,850.55	$2,393.94	$3,744.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,815.23 / $1,815.23 / $1,819.82	Facility		$1,815.23	$1,815.23	$1,819.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,733.20 / $1,819.82 / $1,899.43	Professional		$1,733.20	$1,819.82	$1,899.43
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,685.62 / $2,325.31 / $3,728.36	Professional		$1,685.62	$2,325.31	$3,728.36