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 $1,593.19 / $1,806.08 / $2,283.03	Professional		$1,593.19	$1,806.08	$2,283.03
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 $1,792.01 / $1,859.64 / $1,859.64	Professional		$1,792.01	$1,859.64	$1,859.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,729.58 / $2,315.07 / $3,659.09	Professional		$1,729.58	$2,315.07	$3,659.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.03 / $2,751.56 / $2,755.61	Professional		$2,080.03	$2,751.56	$2,755.61
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 $1,593.19 / $1,912.43 / $5,679.91	Professional		$1,593.19	$1,912.43	$5,679.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,327.30 / $4,432.00	Professional		$6.00	$2,327.30	$4,432.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.77 / $2,337.52 / $3,803.92	Professional		$1,750.77	$2,337.52	$3,803.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,744.26 / $1,744.26 / $2,112.35	Facility		$1,744.26	$1,744.26	$2,112.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,689.38 / $1,754.92 / $2,112.35	Professional		$1,689.38	$1,754.92	$2,112.35
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 $1,730.83 / $2,218.25 / $3,682.98	Professional		$1,730.83	$2,218.25	$3,682.98