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 $1,326.65 / $2,457.13 / $3,077.61	Professional		$1,326.65	$2,457.13	$3,077.61
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 $2,203.02 / $2,286.15 / $2,286.15	Professional		$2,203.02	$2,286.15	$2,286.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.53 / $2,550.87 / $4,478.22	Professional		$1,465.53	$2,550.87	$4,478.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,390.71 / $3,390.71 / $3,563.05	Professional		$3,390.71	$3,390.71	$3,563.05
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 $1,326.65 / $2,643.31 / $7,197.00	Professional		$1,326.65	$2,643.31	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,173.69 / $4,655.70	Professional		$15.00	$2,173.69	$4,655.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.28 / $2,550.87 / $4,372.31	Professional		$1,461.28	$2,550.87	$4,372.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,675.83 / $2,156.98 / $2,156.98	Facility		$1,675.83	$2,156.98	$2,156.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,675.83 / $2,156.98 / $2,266.71	Professional		$1,675.83	$2,156.98	$2,266.71
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 $1,445.81 / $2,452.63 / $4,259.47	Professional		$1,445.81	$2,452.63	$4,259.47