Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.32 / $2,145.21 / $2,858.61	Professional		$1,887.32	$2,145.21	$2,858.61
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 $1,917.31 / $1,989.66 / $1,989.66	Professional		$1,917.31	$1,989.66	$1,989.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,889.36 / $2,480.92 / $3,886.78	Professional		$1,889.36	$2,480.92	$3,886.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,925.71 / $2,925.71 / $3,084.40	Professional		$2,925.71	$2,925.71	$3,084.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,427.00	Facility		$832.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,687.15 / $2,301.53 / $4,623.16	Professional		$1,687.15	$2,301.53	$4,623.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,630.50 / $4,764.20	Professional		$25.00	$3,630.50	$4,764.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.73 / $2,509.83 / $3,886.78	Professional		$1,913.73	$2,509.83	$3,886.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,880.77 / $1,880.77 / $2,677.27	Facility		$1,880.77	$1,880.77	$2,677.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,796.69 / $1,917.03 / $2,677.27	Professional		$1,796.69	$1,917.03	$2,677.27
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 $1,898.44 / $2,498.19 / $4,244.72	Professional		$1,898.44	$2,498.19	$4,244.72