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 $953.68 / $1,088.44 / $1,364.01	Professional		$953.68	$1,088.44	$1,364.01
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 $863.22 / $1,282.14 / $1,849.00	Professional		$863.22	$1,282.14	$1,849.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.40 / $1,249.97 / $1,986.88	Professional		$961.40	$1,249.97	$1,986.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.93 / $1,507.93 / $1,568.38	Professional		$1,507.93	$1,507.93	$1,568.38
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 $870.67 / $1,196.55 / $5,073.42	Professional		$870.67	$1,196.55	$5,073.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,455.90 / $2,458.10	Professional		$15.00	$1,455.90	$2,458.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $983.86 / $1,267.49 / $1,986.88	Professional		$983.86	$1,267.49	$1,986.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $958.61 / $958.61 / $1,016.70	Facility		$958.61	$958.61	$1,016.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $919.86 / $972.90 / $1,016.70	Professional		$919.86	$972.90	$1,016.70
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 $932.14 / $1,263.71 / $1,996.02	Professional		$932.14	$1,263.71	$1,996.02