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 $1,698.40 / $2,061.01 / $2,495.69	Professional		$1,698.40	$2,061.01	$2,495.69
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 $1,564.58 / $2,342.27 / $3,399.10	Professional		$1,564.58	$2,342.27	$3,399.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.72 / $2,408.87 / $3,586.03	Professional		$1,730.72	$2,408.87	$3,586.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,670.90 / $2,670.90 / $2,847.65	Professional		$2,670.90	$2,670.90	$2,847.65
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 $1,543.88 / $2,136.85 / $5,958.00	Professional		$1,543.88	$2,136.85	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,899.40 / $4,347.89	Professional		$15.00	$2,899.40	$4,347.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,840.69 / $2,447.52 / $3,586.03	Professional		$1,840.69	$2,447.52	$3,586.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,738.02 / $1,738.02 / $2,074.17	Facility		$1,738.02	$1,738.02	$2,074.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,653.54 / $1,772.78 / $2,074.17	Professional		$1,653.54	$1,772.78	$2,074.17
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 $1,757.02 / $2,331.73 / $3,682.93	Professional		$1,757.02	$2,331.73	$3,682.93