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 $1,615.88 / $1,893.81 / $2,377.44	Professional		$1,615.88	$1,893.81	$2,377.44
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 $1,496.82 / $2,252.79 / $3,253.06	Professional		$1,496.82	$2,252.79	$3,253.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.74 / $2,202.85 / $3,448.51	Professional		$1,680.74	$2,202.85	$3,448.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,591.96 / $2,591.96 / $2,713.85	Professional		$2,591.96	$2,591.96	$2,713.85
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 $1,504.82 / $2,054.91 / $5,958.00	Professional		$1,504.82	$2,054.91	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,963.10 / $4,238.80	Professional		$15.00	$1,963.10	$4,238.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.78 / $2,218.17 / $3,448.51	Professional		$1,725.78	$2,218.17	$3,448.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,666.21 / $1,666.21 / $1,747.41	Facility		$1,666.21	$1,666.21	$1,747.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,594.12 / $1,695.45 / $1,747.41	Professional		$1,594.12	$1,695.45	$1,747.41
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 $1,620.06 / $2,198.42 / $3,501.53	Professional		$1,620.06	$2,198.42	$3,501.53