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 $1,258.31 / $1,412.49 / $1,755.39	Professional		$1,258.31	$1,412.49	$1,755.39
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 $1,258.95 / $1,306.46 / $1,306.46	Professional		$1,258.95	$1,306.46	$1,306.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.08 / $1,666.54 / $2,542.56	Professional		$1,243.08	$1,666.54	$2,542.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.07 / $1,936.07 / $2,029.25	Professional		$1,936.07	$1,936.07	$2,029.25
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 $1,133.88 / $1,504.20 / $5,958.00	Professional		$1,133.88	$1,504.20	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,274.30 / $3,140.30	Professional		$25.00	$2,274.30	$3,140.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,666.54 / $2,542.56	Professional		$1,275.00	$1,666.54	$2,542.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,231.01 / $1,231.01 / $1,999.88	Facility		$1,231.01	$1,231.01	$1,999.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,178.49 / $1,251.86 / $1,999.88	Professional		$1,178.49	$1,251.86	$1,999.88
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 $1,184.90 / $1,623.20 / $2,599.07	Professional		$1,184.90	$1,623.20	$2,599.07