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 $1,711.67 / $2,112.12 / $2,557.00	Professional		$1,711.67	$2,112.12	$2,557.00
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 $1,827.62 / $1,896.59 / $1,896.59	Professional		$1,827.62	$1,896.59	$1,896.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,803.15 / $2,390.07 / $3,695.99	Professional		$1,803.15	$2,390.07	$3,695.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,798.89 / $2,798.89 / $2,942.34	Professional		$2,798.89	$2,798.89	$2,942.34
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 $1,609.94 / $2,202.38 / $5,958.00	Professional		$1,609.94	$2,202.38	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,443.40 / $4,550.60	Professional		$25.00	$3,443.40	$4,550.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.42 / $2,390.07 / $3,695.99	Professional		$1,813.42	$2,390.07	$3,695.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,790.74 / $1,790.74 / $2,468.48	Facility		$1,790.74	$1,790.74	$2,468.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,712.48 / $1,823.39 / $2,468.48	Professional		$1,712.48	$1,823.39	$2,468.48
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 $1,802.17 / $2,368.92 / $3,672.13	Professional		$1,802.17	$2,368.92	$3,672.13