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 $1,484.67 / $1,705.17 / $2,134.25	Professional		$1,484.67	$1,705.17	$2,134.25
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 $1,347.77 / $1,585.61 / $1,585.61	Professional		$1,347.77	$1,585.61	$1,585.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.45 / $1,973.23 / $3,088.27	Professional		$1,512.45	$1,973.23	$3,088.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,343.36 / $2,343.36 / $2,461.29	Professional		$2,343.36	$2,343.36	$2,461.29
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 $1,451.08 / $1,720.54 / $3,680.50	Professional		$1,451.08	$1,720.54	$3,680.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,732.80 / $3,806.70	Professional		$25.00	$2,732.80	$3,806.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,562.83 / $1,997.29 / $3,088.27	Professional		$1,562.83	$1,997.29	$3,088.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,495.40 / $1,495.40 / $2,354.21	Facility		$1,495.40	$1,495.40	$2,354.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,430.30 / $1,521.97 / $2,354.21	Professional		$1,430.30	$1,521.97	$2,354.21
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 $1,504.21 / $1,926.89 / $3,057.68	Professional		$1,504.21	$1,926.89	$3,057.68