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 $1,297.11 / $1,470.31 / $1,856.48	Professional		$1,297.11	$1,470.31	$1,856.48
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 $1,284.75 / $2,050.96 / $2,758.12	Professional		$1,284.75	$2,050.96	$2,758.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.62 / $1,884.80 / $2,974.19	Professional		$1,406.62	$1,884.80	$2,974.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.51 / $2,238.85 / $2,244.98	Professional		$1,692.51	$2,238.85	$2,244.98
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 $1,297.11 / $1,559.59 / $3,756.22	Professional		$1,297.11	$1,559.59	$3,756.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,908.00 / $3,618.10	Professional		$7.00	$1,908.00	$3,618.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.77 / $1,901.05 / $3,060.90	Professional		$1,427.77	$1,901.05	$3,060.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,418.99 / $1,418.99 / $1,721.62	Facility		$1,418.99	$1,418.99	$1,721.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,374.89 / $1,427.07 / $1,721.62	Professional		$1,374.89	$1,427.07	$1,721.62
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,322.00	Facility		$625.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,425.64 / $1,809.10 / $2,990.72	Professional		$1,425.64	$1,809.10	$2,990.72