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 $1,456.77 / $1,631.57 / $2,324.60	Professional		$1,456.77	$1,631.57	$2,324.60
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 $1,724.48 / $1,789.56 / $1,789.56	Professional		$1,724.48	$1,789.56	$1,789.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.87 / $2,196.27 / $3,610.08	Professional		$1,626.87	$2,196.27	$3,610.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.79 / $2,919.39 / $2,919.39	Professional		$2,156.79	$2,919.39	$2,919.39
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 $1,456.77 / $1,759.19 / $5,958.00	Professional		$1,456.77	$1,759.19	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,793.60 / $4,292.50	Professional		$11.00	$1,793.60	$4,292.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.47 / $2,192.71 / $3,643.16	Professional		$1,666.47	$2,192.71	$3,643.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,601.83 / $1,679.10 / $1,679.10	Facility		$1,601.83	$1,679.10	$1,679.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,596.79 / $1,679.10 / $1,783.17	Professional		$1,596.79	$1,679.10	$1,783.17
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 $1,688.49 / $2,323.90 / $3,414.19	Professional		$1,688.49	$2,323.90	$3,414.19