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 $1,409.59 / $1,572.37 / $1,973.08	Professional		$1,409.59	$1,572.37	$1,973.08
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 $1,244.30 / $1,862.62 / $2,707.69	Professional		$1,244.30	$1,862.62	$2,707.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $1,828.39 / $2,865.64	Professional		$1,399.00	$1,828.39	$2,865.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.69 / $2,161.69 / $2,257.96	Professional		$2,161.69	$2,161.69	$2,257.96
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 $1,349.89 / $1,707.58 / $5,958.00	Professional		$1,349.89	$1,707.58	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,497.50 / $3,110.00	Professional		$20.00	$2,497.50	$3,110.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.84 / $1,842.96 / $2,865.64	Professional		$1,457.84	$1,842.96	$2,865.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,384.19 / $1,384.19 / $1,562.92	Facility		$1,384.19	$1,384.19	$1,562.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,325.96 / $1,407.17 / $1,562.92	Professional		$1,325.96	$1,407.17	$1,562.92
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 $1,394.36 / $1,801.80 / $2,896.31	Professional		$1,394.36	$1,801.80	$2,896.31