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 $1,322.09 / $1,519.85 / $2,416.80	Professional		$1,322.09	$1,519.85	$2,416.80
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 $1,552.61 / $1,611.20 / $1,611.20	Professional		$1,552.61	$1,611.20	$1,611.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.86 / $1,977.39 / $3,250.48	Professional		$1,500.86	$1,977.39	$3,250.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,941.52 / $2,627.25 / $2,627.25	Professional		$1,941.52	$2,627.25	$2,627.25
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 $1,322.09 / $1,605.97 / $4,709.55	Professional		$1,322.09	$1,605.97	$4,709.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,720.40 / $3,873.60	Professional		$11.00	$1,720.40	$3,873.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.86 / $1,977.39 / $3,272.01	Professional		$1,500.86	$1,977.39	$3,272.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,511.85 / $1,511.85 / $1,639.15	Facility		$1,511.85	$1,511.85	$1,639.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,438.29 / $1,546.29 / $1,639.15	Professional		$1,438.29	$1,546.29	$1,639.15
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 $1,552.15 / $2,047.57 / $3,067.76	Professional		$1,552.15	$2,047.57	$3,067.76