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 $1,713.80 / $1,925.49 / $2,355.35	Professional		$1,713.80	$1,925.49	$2,355.35
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 $1,476.99 / $2,209.25 / $3,205.78	Professional		$1,476.99	$2,209.25	$3,205.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.86 / $2,252.00 / $3,477.74	Professional		$1,633.86	$2,252.00	$3,477.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,522.17 / $2,522.17 / $2,688.62	Professional		$2,522.17	$2,522.17	$2,688.62
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 $1,457.55 / $2,016.99 / $5,958.00	Professional		$1,457.55	$2,016.99	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,455.40 / $4,104.89	Professional		$15.00	$2,455.40	$4,104.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.64 / $2,262.67 / $3,511.04	Professional		$1,737.64	$2,262.67	$3,511.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,640.44 / $1,640.44 / $1,860.39	Facility		$1,640.44	$1,640.44	$1,860.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $1,673.25 / $1,860.39	Professional		$1,560.41	$1,673.25	$1,860.39
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 $1,645.09 / $2,198.83 / $3,473.02	Professional		$1,645.09	$2,198.83	$3,473.02