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 $1,708.00 / $2,078.42 / $2,660.54	Professional		$1,708.00	$2,078.42	$2,660.54
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 $1,897.55 / $1,969.15 / $1,969.15	Professional		$1,897.55	$1,969.15	$1,969.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.94 / $2,433.98 / $3,823.32	Professional		$1,847.94	$2,433.98	$3,823.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,864.52 / $2,864.52 / $3,048.75	Professional		$2,864.52	$2,864.52	$3,048.75
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 $1,708.00 / $2,080.38 / $4,556.14	Professional		$1,708.00	$2,080.38	$4,556.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,457.69 / $4,645.30	Professional		$15.00	$2,457.69	$4,645.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,927.68 / $2,477.23 / $3,823.32	Professional		$1,927.68	$2,477.23	$3,823.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,854.03 / $1,854.03 / $2,047.22	Facility		$1,854.03	$1,854.03	$2,047.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,764.53 / $1,891.11 / $2,047.22	Professional		$1,764.53	$1,891.11	$2,047.22
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 $1,820.21 / $2,474.04 / $3,926.86	Professional		$1,820.21	$2,474.04	$3,926.86