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 $1,765.52 / $1,965.08 / $2,436.31	Professional		$1,765.52	$1,965.08	$2,436.31
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 $1,730.83 / $1,796.15 / $1,796.15	Professional		$1,730.83	$1,796.15	$1,796.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.63 / $2,313.02 / $3,589.16	Professional		$1,688.63	$2,313.02	$3,589.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,606.55 / $2,606.55 / $2,778.85	Professional		$2,606.55	$2,606.55	$2,778.85
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 $1,506.92 / $2,084.73 / $5,958.00	Professional		$1,506.92	$2,084.73	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,274.10 / $4,242.30	Professional		$15.00	$2,274.10	$4,242.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.15 / $2,313.02 / $3,589.16	Professional		$1,796.15	$2,313.02	$3,589.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,696.63 / $1,696.63 / $1,880.96	Facility		$1,696.63	$1,696.63	$1,880.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,613.67 / $1,730.56 / $1,880.96	Professional		$1,613.67	$1,730.56	$1,880.96
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 $1,714.50 / $2,331.92 / $3,850.86	Professional		$1,714.50	$2,331.92	$3,850.86