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 $1,604.80 / $2,578.65 / $3,230.00	Professional		$1,604.80	$2,578.65	$3,230.00
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 $2,311.92 / $2,399.17 / $2,399.17	Professional		$2,311.92	$2,399.17	$2,399.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.86 / $2,798.66 / $4,700.52	Professional		$1,734.86	$2,798.66	$4,700.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,556.91 / $3,556.91 / $3,739.27	Professional		$3,556.91	$3,556.91	$3,739.27
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 $1,544.00 / $2,774.79 / $7,197.00	Professional		$1,544.00	$2,774.79	$7,197.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,473.50 / $5,795.70	Professional		$15.00	$2,473.50	$5,795.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,768.06 / $2,798.66 / $4,591.17	Professional		$1,768.06	$2,798.66	$4,591.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.26 / $2,263.51 / $2,263.51	Facility		$1,905.26	$2,263.51	$2,263.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.26 / $2,263.51 / $2,378.31	Professional		$1,905.26	$2,263.51	$2,378.31
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 $1,785.38 / $2,627.82 / $4,715.50	Professional		$1,785.38	$2,627.82	$4,715.50