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 $1,773.95 / $2,281.52 / $2,828.34	Professional		$1,773.95	$2,281.52	$2,828.34
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 $2,016.18 / $2,092.27 / $2,092.27	Professional		$2,016.18	$2,092.27	$2,092.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.14 / $2,567.78 / $4,089.63	Professional		$1,952.14	$2,567.78	$4,089.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,075.49 / $3,075.49 / $3,243.51	Professional		$3,075.49	$3,075.49	$3,243.51
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 $1,773.95 / $2,430.80 / $5,958.00	Professional		$1,773.95	$2,430.80	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,559.80 / $5,008.30	Professional		$25.00	$3,559.80	$5,008.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.16 / $2,591.52 / $4,079.32	Professional		$1,997.16	$2,591.52	$4,079.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,978.30 / $1,978.30 / $2,567.42	Facility		$1,978.30	$1,978.30	$2,567.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,889.34 / $2,016.72 / $2,567.42	Professional		$1,889.34	$2,016.72	$2,567.42
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 $1,900.09 / $2,377.27 / $4,205.18	Professional		$1,900.09	$2,377.27	$4,205.18