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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.51 / $1,982.60 / $2,481.83	Professional		$1,736.51	$1,982.60	$2,481.83
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 $1,775.85 / $1,842.86 / $1,842.86	Professional		$1,775.85	$1,842.86	$1,842.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,751.68 / $2,294.16 / $3,587.76	Professional		$1,751.68	$2,294.16	$3,587.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,723.14 / $2,723.14 / $2,860.03	Professional		$2,723.14	$2,723.14	$2,860.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,451.00	Facility		$1,013.00	$4,761.00	$8,451.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,564.73 / $2,137.88 / $5,958.00	Professional		$1,564.73	$2,137.88	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,206.70 / $4,422.10	Professional		$25.00	$3,206.70	$4,422.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.31 / $2,322.15 / $3,587.76	Professional		$1,797.31	$2,322.15	$3,587.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,738.84 / $1,738.84 / $2,280.76	Facility		$1,738.84	$1,738.84	$2,280.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,663.53 / $1,769.83 / $2,280.76	Professional		$1,663.53	$1,769.83	$2,280.76
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 $1,749.21 / $2,267.40 / $3,565.79	Professional		$1,749.21	$2,267.40	$3,565.79