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 $1,893.50 / $2,251.61 / $3,009.24	Professional		$1,893.50	$2,251.61	$3,009.24
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 $2,019.85 / $2,096.07 / $3,101.94	Professional		$2,019.85	$2,096.07	$3,101.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,989.35 / $2,612.65 / $4,085.27	Professional		$1,989.35	$2,612.65	$4,085.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,080.99 / $3,080.99 / $3,249.80	Professional		$3,080.99	$3,080.99	$3,249.80
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 $1,776.94 / $2,286.73 / $5,958.00	Professional		$1,776.94	$2,286.73	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,616.60 / $5,015.80	Professional		$25.00	$3,616.60	$5,015.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.90 / $2,643.97 / $4,085.27	Professional		$2,046.90	$2,643.97	$4,085.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,981.31 / $1,981.31 / $3,154.76	Facility		$1,981.31	$1,981.31	$3,154.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,892.52 / $2,019.71 / $3,154.76	Professional		$1,892.52	$2,019.71	$3,154.76
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 $1,999.89 / $2,632.01 / $4,157.22	Professional		$1,999.89	$2,632.01	$4,157.22