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 $1,634.77 / $1,964.54 / $2,496.69	Professional		$1,634.77	$1,964.54	$2,496.69
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 $1,780.91 / $1,848.11 / $1,848.11	Professional		$1,780.91	$1,848.11	$1,848.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.18 / $2,304.88 / $3,605.81	Professional		$1,737.18	$2,304.88	$3,605.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,720.72 / $2,720.72 / $2,866.36	Professional		$2,720.72	$2,720.72	$2,866.36
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 $1,568.44 / $1,990.98 / $4,297.28	Professional		$1,568.44	$1,990.98	$4,297.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $3,207.90 / $4,432.60	Professional		$25.00	$3,207.90	$4,432.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.18 / $2,330.03 / $3,605.81	Professional		$1,775.18	$2,330.03	$3,605.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,747.23 / $1,747.23 / $3,252.63	Facility		$1,747.23	$1,747.23	$3,252.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,669.69 / $1,780.30 / $3,252.63	Professional		$1,669.69	$1,780.30	$3,252.63
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 $1,627.58 / $2,253.11 / $3,582.03	Professional		$1,627.58	$2,253.11	$3,582.03