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 $1,688.81 / $2,245.42 / $2,695.86	Professional		$1,688.81	$2,245.42	$2,695.86
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 $1,920.02 / $1,992.47 / $1,992.47	Professional		$1,920.02	$1,992.47	$1,992.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,860.32 / $2,445.31 / $3,910.89	Professional		$1,860.32	$2,445.31	$3,910.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,923.98 / $2,923.98 / $3,087.74	Professional		$2,923.98	$2,923.98	$3,087.74
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 $1,688.81 / $2,245.42 / $5,958.00	Professional		$1,688.81	$2,245.42	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,648.30 / $4,768.00	Professional		$25.00	$3,648.30	$4,768.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,910.92 / $2,445.31 / $3,910.89	Professional		$1,910.92	$2,445.31	$3,910.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,884.82 / $1,884.82 / $2,647.93	Facility		$1,884.82	$1,884.82	$2,647.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,799.85 / $1,922.20 / $2,647.93	Professional		$1,799.85	$1,922.20	$2,647.93
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 $1,820.03 / $2,414.44 / $4,257.63	Professional		$1,820.03	$2,414.44	$4,257.63