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 $1,469.21 / $1,679.97 / $2,101.56	Professional		$1,469.21	$1,679.97	$2,101.56
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 $1,505.57 / $1,562.38 / $2,843.96	Professional		$1,505.57	$1,562.38	$2,843.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.43 / $1,944.09 / $3,041.19	Professional		$1,487.43	$1,944.09	$3,041.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.30 / $2,312.30 / $2,425.60	Professional		$2,312.30	$2,312.30	$2,425.60
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 $1,426.00 / $1,812.19 / $5,958.00	Professional		$1,426.00	$1,812.19	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,720.00 / $3,752.70	Professional		$25.00	$2,720.00	$3,752.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.81 / $1,968.35 / $3,041.19	Professional		$1,538.81	$1,968.35	$3,041.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,473.11 / $1,473.11 / $2,544.96	Facility		$1,473.11	$1,473.11	$2,544.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,409.96 / $1,498.70 / $2,544.96	Professional		$1,409.96	$1,498.70	$2,544.96
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 $1,480.41 / $1,967.53 / $3,152.52	Professional		$1,480.41	$1,967.53	$3,152.52