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 $1,601.69 / $1,769.31 / $2,546.69	Professional		$1,601.69	$1,769.31	$2,546.69
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 $1,886.85 / $1,958.06 / $1,958.06	Professional		$1,886.85	$1,958.06	$1,958.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.61 / $2,403.06 / $3,953.66	Professional		$1,824.61	$2,403.06	$3,953.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.48 / $3,193.86 / $3,193.86	Professional		$2,359.48	$3,193.86	$3,193.86
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 $1,593.78 / $1,835.83 / $4,737.76	Professional		$1,593.78	$1,835.83	$4,737.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,982.20 / $4,696.89	Professional		$11.00	$1,982.20	$4,696.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,825.03 / $2,403.06 / $3,991.92	Professional		$1,825.03	$2,403.06	$3,991.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,790.96 / $1,838.91 / $1,838.91	Facility		$1,790.96	$1,838.91	$1,838.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,747.17 / $1,838.91 / $1,952.56	Professional		$1,747.17	$1,838.91	$1,952.56
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 $1,837.11 / $2,495.67 / $3,737.68	Professional		$1,837.11	$2,495.67	$3,737.68