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 $1,482.74 / $1,621.91 / $2,162.05	Professional		$1,482.74	$1,621.91	$2,162.05
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 $1,615.91 / $1,676.88 / $1,676.88	Professional		$1,615.91	$1,676.88	$1,676.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.17 / $2,099.78 / $3,446.98	Professional		$1,568.17	$2,099.78	$3,446.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.70 / $2,596.69 / $2,596.69	Professional		$1,935.70	$2,596.69	$2,596.69
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 $1,482.74 / $1,645.68 / $4,181.81	Professional		$1,482.74	$1,645.68	$4,181.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,873.60 / $4,005.30	Professional		$10.00	$1,873.60	$4,005.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,569.56 / $2,119.38 / $3,446.98	Professional		$1,569.56	$2,119.38	$3,446.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,588.47 / $1,588.47 / $1,731.69	Facility		$1,588.47	$1,588.47	$1,731.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.39 / $1,623.56 / $1,731.69	Professional		$1,513.39	$1,623.56	$1,731.69
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,391.00 / $6,228.00	Facility		$625.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.22 / $1,979.08 / $3,589.03	Professional		$1,566.22	$1,979.08	$3,589.03