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 $1,060.58 / $1,178.44 / $1,375.70	Professional		$1,060.58	$1,178.44	$1,375.70
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 $864.60 / $1,284.46 / $1,899.97	Professional		$864.60	$1,284.46	$1,899.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.43 / $1,322.30 / $2,034.29	Professional		$959.43	$1,322.30	$2,034.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.35 / $1,483.35 / $1,575.34	Professional		$1,483.35	$1,483.35	$1,575.34
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 $1,050.10 / $1,217.18 / $5,024.92	Professional		$1,050.10	$1,217.18	$5,024.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,632.90 / $2,523.60	Professional		$10.00	$1,632.90	$2,523.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,017.18 / $1,382.00 / $2,062.21	Professional		$1,017.18	$1,382.00	$2,062.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $959.57 / $959.57 / $1,226.20	Facility		$959.57	$959.57	$1,226.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $914.08 / $978.76 / $1,226.20	Professional		$914.08	$978.76	$1,226.20
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.95 / $1,308.36 / $2,022.36	Professional		$970.95	$1,308.36	$2,022.36