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 $1,452.14 / $1,629.08 / $2,079.53	Professional		$1,452.14	$1,629.08	$2,079.53
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 $1,632.33 / $1,693.92 / $1,693.92	Professional		$1,632.33	$1,693.92	$1,693.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.03 / $2,109.06 / $3,306.84	Professional		$1,561.03	$2,109.06	$3,306.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.08 / $2,506.89 / $2,511.10	Professional		$1,895.08	$2,506.89	$2,511.10
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 $1,452.14 / $1,728.24 / $4,197.77	Professional		$1,452.14	$1,728.24	$4,197.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,126.80 / $4,041.70	Professional		$6.00	$2,126.80	$4,041.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.78 / $2,129.67 / $3,537.48	Professional		$1,575.78	$2,129.67	$3,537.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,588.94 / $1,588.94 / $1,856.33	Facility		$1,588.94	$1,588.94	$1,856.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,539.09 / $1,598.50 / $1,856.33	Professional		$1,539.09	$1,598.50	$1,856.33
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 $1,617.70 / $2,020.08 / $3,308.00	Professional		$1,617.70	$2,020.08	$3,308.00