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 $1,687.87 / $1,882.70 / $2,336.40	Professional		$1,687.87	$1,882.70	$2,336.40
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 $1,464.29 / $2,190.38 / $3,178.52	Professional		$1,464.29	$2,190.38	$3,178.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.85 / $2,226.77 / $3,449.58	Professional		$1,619.85	$2,226.77	$3,449.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,500.58 / $2,500.58 / $2,665.31	Professional		$2,500.58	$2,500.58	$2,665.31
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 $1,445.38 / $1,999.61 / $5,958.00	Professional		$1,445.38	$1,999.61	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,441.69 / $4,439.20	Professional		$15.00	$2,441.69	$4,439.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.68 / $2,297.32 / $3,455.34	Professional		$1,722.68	$2,297.32	$3,455.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,627.16 / $1,627.16 / $1,991.49	Facility		$1,627.16	$1,627.16	$1,991.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,547.69 / $1,659.70 / $1,991.49	Professional		$1,547.69	$1,659.70	$1,991.49
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 $1,573.40 / $2,157.21 / $3,414.71	Professional		$1,573.40	$2,157.21	$3,414.71