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 $1,334.66 / $1,596.63 / $2,172.75	Professional		$1,334.66	$1,596.63	$2,172.75
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 $1,440.12 / $1,494.46 / $1,494.46	Professional		$1,440.12	$1,494.46	$1,494.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.43 / $1,859.52 / $2,910.46	Professional		$1,422.43	$1,859.52	$2,910.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.16 / $2,213.16 / $2,319.82	Professional		$2,213.16	$2,213.16	$2,319.82
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 $1,364.87 / $1,607.13 / $3,711.40	Professional		$1,364.87	$1,607.13	$3,711.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,581.00 / $3,592.80	Professional		$25.00	$2,581.00	$3,592.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.54 / $1,883.30 / $2,910.46	Professional		$1,471.54	$1,883.30	$2,910.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,409.49 / $1,409.49 / $1,946.48	Facility		$1,409.49	$1,409.49	$1,946.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,349.35 / $1,433.67 / $1,946.48	Professional		$1,349.35	$1,433.67	$1,946.48
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 $1,357.20 / $1,863.23 / $2,975.47	Professional		$1,357.20	$1,863.23	$2,975.47