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 $1,692.68 / $1,899.57 / $2,291.48	Professional		$1,692.68	$1,899.57	$2,291.48
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 $1,629.10 / $1,690.58 / $1,690.58	Professional		$1,629.10	$1,690.58	$1,690.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.33 / $2,186.04 / $3,322.11	Professional		$1,589.33	$2,186.04	$3,322.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.50 / $2,454.50 / $2,616.00	Professional		$2,454.50	$2,454.50	$2,616.00
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 $1,535.69 / $1,959.81 / $4,099.82	Professional		$1,535.69	$1,959.81	$4,099.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,121.20 / $3,993.30	Professional		$15.00	$3,121.20	$3,993.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.58 / $2,196.23 / $3,322.11	Professional		$1,690.58	$2,196.23	$3,322.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,596.06 / $1,596.06 / $1,654.99	Facility		$1,596.06	$1,596.06	$1,654.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,518.28 / $1,627.98 / $1,663.06	Professional		$1,518.28	$1,627.98	$1,663.06
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 $1,613.73 / $2,072.88 / $3,380.80	Professional		$1,613.73	$2,072.88	$3,380.80