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 $1,456.85 / $1,635.08 / $2,086.83	Professional		$1,456.85	$1,635.08	$2,086.83
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 $1,639.06 / $1,700.91 / $1,700.91	Professional		$1,639.06	$1,700.91	$1,700.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.69 / $2,129.33 / $3,367.75	Professional		$1,581.69	$2,129.33	$3,367.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.32 / $2,517.82 / $2,522.54	Professional		$1,903.32	$2,517.82	$2,522.54
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 $1,456.85 / $1,735.17 / $4,212.68	Professional		$1,456.85	$1,735.17	$4,212.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,278.69 / $4,056.40	Professional		$7.00	$2,278.69	$4,056.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.09 / $2,137.66 / $3,438.42	Professional		$1,601.09	$2,137.66	$3,438.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,594.67 / $1,594.67 / $2,536.28	Facility		$1,594.67	$1,594.67	$2,536.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,544.79 / $1,604.12 / $2,536.28	Professional		$1,544.79	$1,604.12	$2,536.28
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 $1,554.53 / $2,041.90 / $3,489.18	Professional		$1,554.53	$2,041.90	$3,489.18