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 $1,730.65 / $1,930.79 / $2,258.78	Professional		$1,730.65	$1,930.79	$2,258.78
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 $1,416.04 / $2,117.07 / $3,189.46	Professional		$1,416.04	$2,117.07	$3,189.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.77 / $2,154.15 / $3,335.31	Professional		$1,565.77	$2,154.15	$3,335.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,418.69 / $2,418.69 / $2,577.79	Professional		$2,418.69	$2,418.69	$2,577.79
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 $1,426.00 / $1,939.96 / $5,958.00	Professional		$1,426.00	$1,939.96	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,731.60 / $4,015.50	Professional		$15.00	$1,731.60	$4,015.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.93 / $2,242.80 / $3,504.54	Professional		$1,665.93	$2,242.80	$3,504.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,573.26 / $1,573.26 / $1,787.47	Facility		$1,573.26	$1,573.26	$1,787.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,496.56 / $1,604.73 / $1,787.47	Professional		$1,496.56	$1,604.73	$1,787.47
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 $1,585.19 / $2,162.51 / $3,386.33	Professional		$1,585.19	$2,162.51	$3,386.33