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 $1,897.29 / $2,110.05 / $2,619.05	Professional		$1,897.29	$2,110.05	$2,619.05
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 $1,861.31 / $1,931.55 / $1,931.55	Professional		$1,861.31	$1,931.55	$1,931.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.08 / $2,485.57 / $3,856.92	Professional		$1,815.08	$2,485.57	$3,856.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,801.85 / $2,801.85 / $2,988.83	Professional		$2,801.85	$2,801.85	$2,988.83
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 $1,619.43 / $2,241.36 / $5,958.00	Professional		$1,619.43	$2,241.36	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,457.69 / $4,559.60	Professional		$15.00	$2,457.69	$4,559.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.55 / $2,485.57 / $3,856.92	Professional		$1,931.55	$2,485.57	$3,856.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,823.68 / $1,823.68 / $2,050.25	Facility		$1,823.68	$1,823.68	$2,050.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,734.31 / $1,860.15 / $2,050.25	Professional		$1,734.31	$1,860.15	$2,050.25
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 $1,812.18 / $2,505.05 / $3,862.87	Professional		$1,812.18	$2,505.05	$3,862.87