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 $1,486.40 / $1,704.06 / $2,133.30	Professional		$1,486.40	$1,704.06	$2,133.30
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 $1,526.94 / $1,584.56 / $1,584.56	Professional		$1,526.94	$1,584.56	$1,584.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.40 / $1,971.97 / $3,085.50	Professional		$1,511.40	$1,971.97	$3,085.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,341.81 / $2,341.81 / $2,459.83	Professional		$2,341.81	$2,341.81	$2,459.83
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 $1,426.00 / $1,838.60 / $5,958.00	Professional		$1,426.00	$1,838.60	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,756.10 / $3,803.40	Professional		$25.00	$2,756.10	$3,803.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.09 / $1,995.97 / $3,085.50	Professional		$1,558.09	$1,995.97	$3,085.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,494.72 / $1,494.72 / $2,398.75	Facility		$1,494.72	$1,494.72	$2,398.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,429.32 / $1,521.29 / $2,398.75	Professional		$1,429.32	$1,521.29	$2,398.75
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 $1,503.17 / $2,001.33 / $3,162.39	Professional		$1,503.17	$2,001.33	$3,162.39