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 $1,787.99 / $2,170.19 / $2,629.94	Professional		$1,787.99	$2,170.19	$2,629.94
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 $1,648.03 / $2,467.21 / $3,580.92	Professional		$1,648.03	$2,467.21	$3,580.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.33 / $2,537.50 / $3,778.01	Professional		$1,822.33	$2,537.50	$3,778.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,812.51 / $2,812.51 / $2,999.61	Professional		$2,812.51	$2,812.51	$2,999.61
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 $1,626.12 / $2,250.21 / $5,958.00	Professional		$1,626.12	$2,250.21	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,052.00 / $4,577.80	Professional		$15.00	$3,052.00	$4,577.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.86 / $2,578.15 / $3,778.01	Professional		$1,938.86	$2,578.15	$3,778.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,831.26 / $1,831.26 / $2,189.21	Facility		$1,831.26	$1,831.26	$2,189.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,741.51 / $1,867.89 / $2,189.21	Professional		$1,741.51	$1,867.89	$2,189.21
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.05 / $2,554.96 / $3,880.33	Professional		$1,861.05	$2,554.96	$3,880.33