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 $1,677.20 / $1,882.01 / $2,401.38	Professional		$1,677.20	$1,882.01	$2,401.38
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 $1,885.95 / $1,957.12 / $1,957.12	Professional		$1,885.95	$1,957.12	$1,957.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.47 / $2,436.76 / $3,803.61	Professional		$1,820.47	$2,436.76	$3,803.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,189.94 / $2,897.06 / $2,901.75	Professional		$2,189.94	$2,897.06	$2,901.75
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 $1,677.20 / $1,996.14 / $4,849.05	Professional		$1,677.20	$1,996.14	$4,849.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,294.80 / $4,668.89	Professional		$8.00	$2,294.80	$4,668.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,839.00 / $2,460.37 / $3,847.12	Professional		$1,839.00	$2,460.37	$3,847.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,834.99 / $1,834.99 / $2,116.41	Facility		$1,834.99	$1,834.99	$2,116.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,777.54 / $1,845.91 / $2,116.41	Professional		$1,777.54	$1,845.91	$2,116.41
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 $1,842.45 / $2,322.64 / $3,831.43	Professional		$1,842.45	$2,322.64	$3,831.43