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 $1,563.19 / $1,727.10 / $2,560.83	Professional		$1,563.19	$1,727.10	$2,560.83
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 $1,898.91 / $1,970.56 / $1,970.56	Professional		$1,898.91	$1,970.56	$1,970.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.61 / $2,381.14 / $3,845.02	Professional		$1,756.61	$2,381.14	$3,845.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,374.56 / $3,213.90 / $3,213.90	Professional		$2,374.56	$3,213.90	$3,213.90
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 $1,563.19 / $1,936.99 / $4,765.24	Professional		$1,563.19	$1,936.99	$4,765.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,944.00 / $4,726.89	Professional		$11.00	$1,944.00	$4,726.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.61 / $2,381.14 / $3,845.02	Professional		$1,756.61	$2,381.14	$3,845.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,662.86 / $1,849.64 / $1,849.64	Facility		$1,662.86	$1,849.64	$1,849.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,662.86 / $1,849.64 / $1,964.40	Professional		$1,662.86	$1,849.64	$1,964.40
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 $1,761.75 / $2,508.44 / $3,756.32	Professional		$1,761.75	$2,508.44	$3,756.32