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 $1,630.92 / $1,824.48 / $2,258.78	Professional		$1,630.92	$1,824.48	$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 / $3,072.70	Professional		$1,416.04	$2,117.07	$3,072.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.77 / $2,137.31 / $3,316.51	Professional		$1,565.77	$2,137.31	$3,316.51
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 / $1,932.50 / $5,958.00	Professional		$1,426.00	$1,932.50	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,252.60 / $3,934.10	Professional		$15.00	$2,252.60	$3,934.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.93 / $2,137.31 / $3,316.51	Professional		$1,665.93	$2,137.31	$3,316.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,573.26 / $1,573.26 / $1,793.26	Facility		$1,573.26	$1,573.26	$1,793.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,496.56 / $1,604.73 / $1,793.26	Professional		$1,496.56	$1,604.73	$1,793.26
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 $1,542.51 / $2,086.58 / $3,282.48	Professional		$1,542.51	$2,086.58	$3,282.48