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 $1,343.48 / $1,557.59 / $2,128.67	Professional		$1,343.48	$1,557.59	$2,128.67
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 $1,577.56 / $1,637.09 / $1,637.09	Professional		$1,577.56	$1,637.09	$1,637.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.76 / $2,009.15 / $3,304.16	Professional		$1,524.76	$2,009.15	$3,304.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.85 / $2,670.78 / $2,670.78	Professional		$1,972.85	$2,670.78	$2,670.78
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 $1,343.48 / $1,610.37 / $3,965.04	Professional		$1,343.48	$1,610.37	$3,965.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,658.90 / $3,925.10	Professional		$11.00	$1,658.90	$3,925.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.76 / $2,009.15 / $3,345.71	Professional		$1,524.76	$2,009.15	$3,345.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,388.60 / $1,536.82 / $1,536.82	Facility		$1,388.60	$1,536.82	$1,536.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,388.60 / $1,536.82 / $1,631.50	Professional		$1,388.60	$1,536.82	$1,631.50
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 $1,584.22 / $2,059.48 / $3,170.82	Professional		$1,584.22	$2,059.48	$3,170.82