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 $1,362.13 / $1,513.18 / $2,171.44	Professional		$1,362.13	$1,513.18	$2,171.44
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 $1,611.46 / $1,672.28 / $1,672.28	Professional		$1,611.46	$1,672.28	$1,672.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.25 / $2,020.31 / $3,373.18	Professional		$1,520.25	$2,020.31	$3,373.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,015.52 / $2,727.82 / $2,727.82	Professional		$2,015.52	$2,727.82	$2,727.82
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 $1,371.32 / $1,644.43 / $4,045.30	Professional		$1,371.32	$1,644.43	$4,045.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,704.20 / $4,015.20	Professional		$11.00	$1,704.20	$4,015.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.65 / $2,020.31 / $3,397.54	Professional		$1,551.65	$2,020.31	$3,397.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,333.39 / $1,568.92 / $1,568.92	Facility		$1,333.39	$1,568.92	$1,568.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,333.39 / $1,568.92 / $1,666.60	Professional		$1,333.39	$1,568.92	$1,666.60
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 $1,508.82 / $2,078.82 / $3,183.48	Professional		$1,508.82	$2,078.82	$3,183.48