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 $1,401.33 / $1,621.77 / $2,038.60	Professional		$1,401.33	$1,621.77	$2,038.60
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 $1,600.54 / $1,660.93 / $1,660.93	Professional		$1,600.54	$1,660.93	$1,660.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.91 / $2,069.09 / $3,265.21	Professional		$1,544.91	$2,069.09	$3,265.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.83 / $2,458.92 / $2,463.98	Professional		$1,858.83	$2,458.92	$2,463.98
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 $1,413.34 / $1,628.77 / $4,115.29	Professional		$1,413.34	$1,628.77	$4,115.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,040.50 / $3,962.90	Professional		$7.00	$2,040.50	$3,962.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.42 / $2,087.94 / $3,364.77	Professional		$1,557.42	$2,087.94	$3,364.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,557.86 / $1,557.86 / $1,915.25	Facility		$1,557.86	$1,557.86	$1,915.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,509.15 / $1,567.05 / $1,915.25	Professional		$1,509.15	$1,567.05	$1,915.25
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 $1,479.68 / $1,977.45 / $3,399.87	Professional		$1,479.68	$1,977.45	$3,399.87