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 $1,395.10 / $1,665.81 / $2,118.71	Professional		$1,395.10	$1,665.81	$2,118.71
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 $1,335.39 / $1,992.26 / $2,880.41	Professional		$1,335.39	$1,992.26	$2,880.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.64 / $1,928.11 / $3,061.20	Professional		$1,499.64	$1,928.11	$3,061.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,315.13 / $2,315.13 / $2,436.89	Professional		$2,315.13	$2,315.13	$2,436.89
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 $1,395.10 / $1,691.23 / $3,648.24	Professional		$1,395.10	$1,691.23	$3,648.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,708.10 / $3,765.20	Professional		$25.00	$2,708.10	$3,765.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.50 / $1,958.73 / $3,061.20	Professional		$1,542.50	$1,958.73	$3,061.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,448.37 / $1,483.21 / $1,483.21	Facility		$1,448.37	$1,483.21	$1,483.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,417.84 / $1,483.21 / $1,554.17	Professional		$1,417.84	$1,483.21	$1,554.17
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 $1,432.98 / $1,957.80 / $3,065.77	Professional		$1,432.98	$1,957.80	$3,065.77