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 $1,591.43 / $1,886.31 / $2,272.56	Professional		$1,591.43	$1,886.31	$2,272.56
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 $1,626.25 / $1,687.62 / $1,687.62	Professional		$1,626.25	$1,687.62	$1,687.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.89 / $2,164.16 / $3,287.24	Professional		$1,610.89	$2,164.16	$3,287.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,494.96 / $2,494.96 / $2,618.64	Professional		$2,494.96	$2,494.96	$2,618.64
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 $1,433.50 / $1,958.81 / $5,958.00	Professional		$1,433.50	$1,958.81	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,939.00 / $4,053.10	Professional		$25.00	$2,939.00	$4,053.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,675.03 / $2,164.16 / $3,287.24	Professional		$1,675.03	$2,164.16	$3,287.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,592.47 / $1,592.47 / $2,682.72	Facility		$1,592.47	$1,592.47	$2,682.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,523.73 / $1,620.62 / $2,682.72	Professional		$1,523.73	$1,620.62	$2,682.72
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 $1,602.49 / $2,024.94 / $3,324.86	Professional		$1,602.49	$2,024.94	$3,324.86