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 $1,486.68 / $2,361.81 / $2,957.23	Professional		$1,486.68	$2,361.81	$2,957.23
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 $2,117.92 / $2,197.84 / $2,197.84	Professional		$2,117.92	$2,197.84	$2,197.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.91 / $2,585.03 / $4,302.83	Professional		$1,603.91	$2,585.03	$4,302.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,260.01 / $3,260.01 / $3,425.85	Professional		$3,260.01	$3,260.01	$3,425.85
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 $1,486.68 / $2,539.69 / $7,197.00	Professional		$1,486.68	$2,539.69	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,273.60 / $5,307.10	Professional		$15.00	$2,273.60	$5,307.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.24 / $2,585.03 / $4,203.34	Professional		$1,648.24	$2,585.03	$4,203.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,690.93 / $2,072.67 / $2,072.67	Facility		$1,690.93	$2,072.67	$2,072.67
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,690.93 / $2,072.67 / $2,178.16	Professional		$1,690.93	$2,072.67	$2,178.16
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 $1,665.16 / $2,350.03 / $4,094.86	Professional		$1,665.16	$2,350.03	$4,094.86