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 $1,397.89 / $1,597.00 / $2,003.13	Professional		$1,397.89	$1,597.00	$2,003.13
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 $1,264.47 / $1,890.17 / $2,728.61	Professional		$1,264.47	$1,890.17	$2,728.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.49 / $1,857.23 / $2,910.84	Professional		$1,421.49	$1,857.23	$2,910.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.44 / $2,198.44 / $2,295.44	Professional		$2,198.44	$2,198.44	$2,295.44
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 $1,397.89 / $1,752.20 / $5,151.52	Professional		$1,397.89	$1,752.20	$5,151.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,991.30 / $3,588.50	Professional		$15.00	$1,991.30	$3,588.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.57 / $1,872.14 / $2,910.84	Professional		$1,424.57	$1,872.14	$2,910.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,405.57 / $1,405.57 / $1,432.31	Facility		$1,405.57	$1,405.57	$1,432.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,346.72 / $1,428.62 / $1,473.50	Professional		$1,346.72	$1,428.62	$1,473.50
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 $1,348.17 / $1,861.11 / $2,980.01	Professional		$1,348.17	$1,861.11	$2,980.01