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 $974.76 / $1,876.86 / $2,366.66	Professional		$974.76	$1,876.86	$2,366.66
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 $1,875.32 / $2,206.26 / $3,617.06	Professional		$1,875.32	$2,206.26	$3,617.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.36 / $2,409.31 / $3,623.99	Professional		$1,756.36	$2,409.31	$3,623.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,562.98 / $3,562.98 / $3,635.12	Professional		$3,562.98	$3,562.98	$3,635.12
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 $974.76 / $1,935.28 / $3,686.99	Professional		$974.76	$1,935.28	$3,686.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.28 / $2,387.12 / $3,553.59	Professional		$1,766.28	$2,387.12	$3,553.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,078.82 / $2,078.82 / $2,157.30	Facility		$2,078.82	$2,078.82	$2,157.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.77 / $2,120.40 / $2,684.73	Professional		$1,258.77	$2,120.40	$2,684.73
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 $1,613.18 / $2,386.07 / $4,306.87	Professional		$1,613.18	$2,386.07	$4,306.87