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 $1,699.85 / $1,904.24 / $2,243.04	Professional		$1,699.85	$1,904.24	$2,243.04
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 $1,407.43 / $2,103.11 / $3,303.01	Professional		$1,407.43	$2,103.11	$3,303.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,556.61 / $2,141.14 / $3,322.04	Professional		$1,556.61	$2,141.14	$3,322.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,404.07 / $2,404.07 / $2,562.91	Professional		$2,404.07	$2,404.07	$2,562.91
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 / $1,921.33 / $5,958.00	Professional		$1,426.00	$1,921.33	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,600.40 / $3,911.10	Professional		$15.00	$2,600.40	$3,911.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.79 / $2,212.39 / $3,353.08	Professional		$1,655.79	$2,212.39	$3,353.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,562.39 / $1,562.39 / $2,114.12	Facility		$1,562.39	$1,562.39	$2,114.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,486.31 / $1,593.64 / $2,114.12	Professional		$1,486.31	$1,593.64	$2,114.12
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 $1,559.92 / $2,178.71 / $3,308.61	Professional		$1,559.92	$2,178.71	$3,308.61