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 $1,611.51 / $1,802.79 / $2,307.51	Professional		$1,611.51	$1,802.79	$2,307.51
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 $1,805.75 / $1,873.89 / $1,873.89	Professional		$1,805.75	$1,873.89	$1,873.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.53 / $2,341.46 / $3,694.31	Professional		$1,743.53	$2,341.46	$3,694.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.13 / $2,771.41 / $2,775.26	Professional		$2,095.13	$2,771.41	$2,775.26
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 $1,611.51 / $1,915.78 / $4,654.81	Professional		$1,611.51	$1,915.78	$4,654.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,284.19 / $4,480.60	Professional		$8.00	$2,284.19	$4,480.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.79 / $2,356.38 / $3,709.08	Professional		$1,766.79	$2,356.38	$3,709.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,762.48 / $1,762.48 / $2,131.42	Facility		$1,762.48	$1,762.48	$2,131.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,706.58 / $1,773.70 / $2,131.42	Professional		$1,706.58	$1,773.70	$2,131.42
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 $1,740.95 / $2,283.66 / $3,678.05	Professional		$1,740.95	$2,283.66	$3,678.05