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 $1,628.91 / $1,797.42 / $2,583.42	Professional		$1,628.91	$1,797.42	$2,583.42
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 $1,913.75 / $1,985.96 / $1,985.96	Professional		$1,913.75	$1,985.96	$1,985.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.21 / $2,437.31 / $4,007.49	Professional		$1,850.21	$2,437.31	$4,007.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,393.61 / $3,241.35 / $3,241.35	Professional		$2,393.61	$3,241.35	$3,241.35
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 $1,628.91 / $1,951.58 / $4,800.89	Professional		$1,628.91	$1,951.58	$4,800.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,144.90 / $4,751.00	Professional		$11.00	$2,144.90	$4,751.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.21 / $2,437.31 / $4,070.39	Professional		$1,850.21	$2,437.31	$4,070.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,863.95 / $1,863.95 / $2,278.78	Facility		$1,863.95	$1,863.95	$2,278.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,770.32 / $1,909.41 / $2,278.78	Professional		$1,770.32	$1,909.41	$2,278.78
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 $1,909.52 / $2,538.73 / $3,803.47	Professional		$1,909.52	$2,538.73	$3,803.47