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 $1,662.93 / $1,887.70 / $2,366.86	Professional		$1,662.93	$1,887.70	$2,366.86
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 $1,488.67 / $2,227.21 / $3,217.90	Professional		$1,488.67	$2,227.21	$3,217.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.00 / $2,191.77 / $3,414.49	Professional		$1,663.00	$2,191.77	$3,414.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.36 / $2,575.36 / $2,715.46	Professional		$2,575.36	$2,575.36	$2,715.46
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 $1,485.20 / $2,034.64 / $5,958.00	Professional		$1,485.20	$2,034.64	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,017.80 / $4,193.39	Professional		$15.00	$3,017.80	$4,193.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.38 / $2,208.56 / $3,414.49	Professional		$1,751.38	$2,208.56	$3,414.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,550.97 / $1,655.75 / $2,011.45	Facility		$1,550.97	$1,655.75	$2,011.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,550.97 / $1,655.75 / $2,011.45	Professional		$1,550.97	$1,655.75	$2,011.45
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 $1,615.59 / $2,199.01 / $3,443.49	Professional		$1,615.59	$2,199.01	$3,443.49