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 $1,779.01 / $2,208.33 / $5,515.73	Professional		$1,779.01	$2,208.33	$5,515.73
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 $1,975.30 / $2,049.84 / $2,049.84	Professional		$1,975.30	$2,049.84	$2,049.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.47 / $2,552.51 / $3,994.92	Professional		$1,947.47	$2,552.51	$3,994.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.68 / $3,019.68 / $3,179.25	Professional		$3,019.68	$3,019.68	$3,179.25
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 $1,779.01 / $2,231.62 / $5,958.00	Professional		$1,779.01	$2,231.62	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,557.80 / $4,912.89	Professional		$25.00	$3,557.80	$4,912.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.52 / $2,584.67 / $3,994.92	Professional		$1,964.52	$2,584.67	$3,994.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,936.01 / $1,936.01 / $2,609.01	Facility		$1,936.01	$1,936.01	$2,609.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,850.51 / $1,972.24 / $2,609.01	Professional		$1,850.51	$1,972.24	$2,609.01
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 $1,904.15 / $2,498.28 / $4,107.80	Professional		$1,904.15	$2,498.28	$4,107.80