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 $2,029.76 / $2,243.96 / $2,799.86	Professional		$2,029.76	$2,243.96	$2,799.86
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 $1,761.34 / $2,637.60 / $3,809.36	Professional		$1,761.34	$2,637.60	$3,809.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.38 / $2,583.64 / $4,039.86	Professional		$1,967.38	$2,583.64	$4,039.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,046.19 / $3,046.19 / $3,212.15	Professional		$3,046.19	$3,046.19	$3,212.15
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 $1,756.88 / $2,407.28 / $5,958.00	Professional		$1,756.88	$2,407.28	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,783.50 / $4,960.60	Professional		$25.00	$3,783.50	$4,960.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.53 / $2,611.07 / $4,039.86	Professional		$1,993.53	$2,611.07	$4,039.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.90 / $1,958.58 / $1,958.58	Facility		$1,905.90	$1,958.58	$1,958.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,871.24 / $1,958.58 / $2,050.48	Professional		$1,871.24	$1,958.58	$2,050.48
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 $1,883.12 / $2,508.94 / $4,068.79	Professional		$1,883.12	$2,508.94	$4,068.79