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 $1,529.13 / $2,392.44 / $2,996.58	Professional		$1,529.13	$2,392.44	$2,996.58
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 $2,145.55 / $2,226.51 / $2,226.51	Professional		$2,145.55	$2,226.51	$2,226.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.81 / $2,624.96 / $4,361.34	Professional		$1,640.81	$2,624.96	$4,361.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,302.24 / $3,302.24 / $3,470.56	Professional		$3,302.24	$3,302.24	$3,470.56
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 $1,529.13 / $2,574.21 / $7,197.00	Professional		$1,529.13	$2,574.21	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,264.80 / $5,379.10	Professional		$15.00	$2,264.80	$5,379.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.21 / $2,624.96 / $4,256.38	Professional		$1,665.21	$2,624.96	$4,256.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,770.76 / $2,100.26 / $2,100.26	Facility		$1,770.76	$2,100.26	$2,100.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,770.76 / $2,100.26 / $2,207.10	Professional		$1,770.76	$2,100.26	$2,207.10
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 $1,580.05 / $2,476.58 / $4,371.64	Professional		$1,580.05	$2,476.58	$4,371.64