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 $1,389.43 / $1,549.79 / $2,039.30	Professional		$1,389.43	$1,549.79	$2,039.30
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 $1,576.74 / $1,636.24 / $2,413.01	Professional		$1,576.74	$1,636.24	$2,413.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.46 / $1,946.19 / $3,105.12	Professional		$1,411.46	$1,946.19	$3,105.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.48 / $2,552.44 / $2,552.44	Professional		$1,904.48	$2,552.44	$2,552.44
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 $1,389.43 / $1,572.72 / $4,113.88	Professional		$1,389.43	$1,572.72	$4,113.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,805.10 / $3,961.20	Professional		$12.00	$1,805.10	$3,961.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,486.58 / $1,977.89 / $3,201.85	Professional		$1,486.58	$1,977.89	$3,201.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,447.21 / $1,541.27 / $1,541.27	Facility		$1,447.21	$1,541.27	$1,541.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,447.21 / $1,541.27 / $1,622.06	Professional		$1,447.21	$1,541.27	$1,622.06
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 $1,379.87 / $1,974.37 / $3,415.92	Professional		$1,379.87	$1,974.37	$3,415.92