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 $1,676.71 / $1,972.51 / $2,469.48	Professional		$1,676.71	$1,972.51	$2,469.48
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 $1,766.27 / $1,832.92 / $1,832.92	Professional		$1,766.27	$1,832.92	$1,832.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.81 / $2,281.02 / $3,571.92	Professional		$1,710.81	$2,281.02	$3,571.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.76 / $2,706.76 / $2,844.39	Professional		$2,706.76	$2,706.76	$2,844.39
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 $1,556.44 / $2,128.44 / $5,958.00	Professional		$1,556.44	$2,128.44	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,728.50 / $4,400.89	Professional		$15.00	$1,728.50	$4,400.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.37 / $2,281.84 / $3,571.92	Professional		$1,750.37	$2,281.84	$3,571.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,589.67 / $1,729.96 / $1,729.96	Facility		$1,589.67	$1,729.96	$1,729.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,589.67 / $1,729.96 / $1,814.20	Professional		$1,589.67	$1,729.96	$1,814.20
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 $1,657.27 / $2,216.08 / $3,661.62	Professional		$1,657.27	$2,216.08	$3,661.62