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 $1,389.79 / $1,677.99 / $2,034.63	Professional		$1,389.79	$1,677.99	$2,034.63
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 $1,276.77 / $1,957.01 / $2,857.91	Professional		$1,276.77	$1,957.01	$2,857.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.57 / $1,989.59 / $2,928.60	Professional		$1,413.57	$1,989.59	$2,928.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.25 / $2,183.25 / $2,324.52	Professional		$2,183.25	$2,183.25	$2,324.52
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 $1,389.79 / $1,743.83 / $5,958.00	Professional		$1,389.79	$1,743.83	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,458.80 / $3,552.70	Professional		$8.00	$2,458.80	$3,552.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.08 / $1,989.59 / $2,928.60	Professional		$1,502.08	$1,989.59	$2,928.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,417.66 / $1,417.66 / $1,677.60	Facility		$1,417.66	$1,417.66	$1,677.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,349.04 / $1,446.01 / $1,677.60	Professional		$1,349.04	$1,446.01	$1,677.60
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 $1,439.56 / $1,969.33 / $2,999.88	Professional		$1,439.56	$1,969.33	$2,999.88