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 $1,418.50 / $1,641.75 / $2,246.17	Professional		$1,418.50	$1,641.75	$2,246.17
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 $1,666.82 / $1,729.72 / $1,729.72	Professional		$1,666.82	$1,729.72	$1,729.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.45 / $2,122.84 / $3,490.07	Professional		$1,579.45	$2,122.84	$3,490.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,084.17 / $2,820.22 / $2,820.22	Professional		$2,084.17	$2,820.22	$2,820.22
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 $1,418.50 / $1,701.26 / $5,958.00	Professional		$1,418.50	$1,701.26	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,652.10 / $4,155.80	Professional		$11.00	$1,652.10	$4,155.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.11 / $2,122.84 / $3,515.27	Professional		$1,611.11	$2,122.84	$3,515.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,437.31 / $1,623.29 / $1,623.29	Facility		$1,437.31	$1,623.29	$1,623.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,437.31 / $1,623.29 / $1,724.66	Professional		$1,437.31	$1,623.29	$1,724.66
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 $1,666.62 / $2,198.65 / $3,292.77	Professional		$1,666.62	$2,198.65	$3,292.77