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 $1,681.88 / $2,017.28 / $2,442.86	Professional		$1,681.88	$2,017.28	$2,442.86
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 $1,531.16 / $2,291.85 / $3,325.76	Professional		$1,531.16	$2,291.85	$3,325.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.88 / $2,367.85 / $3,509.48	Professional		$1,693.88	$2,367.85	$3,509.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,614.15 / $2,614.15 / $2,786.78	Professional		$2,614.15	$2,614.15	$2,786.78
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 $1,511.33 / $2,091.23 / $5,958.00	Professional		$1,511.33	$2,091.23	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,837.70 / $4,255.50	Professional		$15.00	$2,837.70	$4,255.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.35 / $2,395.21 / $3,509.48	Professional		$1,801.35	$2,395.21	$3,509.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,701.28 / $1,701.28 / $2,031.53	Facility		$1,701.28	$1,701.28	$2,031.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,618.41 / $1,735.31 / $2,031.53	Professional		$1,618.41	$1,735.31	$2,031.53
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 $1,646.46 / $2,330.48 / $3,604.23	Professional		$1,646.46	$2,330.48	$3,604.23