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 $1,441.93 / $1,597.81 / $2,517.94	Professional		$1,441.93	$1,597.81	$2,517.94
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 $1,703.80 / $1,768.10 / $1,768.10	Professional		$1,703.80	$1,768.10	$1,768.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.39 / $2,169.92 / $3,565.37	Professional		$1,646.39	$2,169.92	$3,565.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,130.44 / $2,882.41 / $2,882.41	Professional		$2,130.44	$2,882.41	$2,882.41
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 $1,441.93 / $1,719.29 / $4,272.89	Professional		$1,441.93	$1,719.29	$4,272.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,854.20 / $4,246.60	Professional		$11.00	$1,854.20	$4,246.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.39 / $2,169.92 / $3,589.80	Professional		$1,646.39	$2,169.92	$3,589.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,612.80 / $1,658.31 / $1,658.31	Facility		$1,612.80	$1,658.31	$1,658.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,578.12 / $1,658.31 / $1,762.41	Professional		$1,578.12	$1,658.31	$1,762.41
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 $1,701.91 / $2,245.01 / $3,360.18	Professional		$1,701.91	$2,245.01	$3,360.18