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 $1,373.31 / $1,587.90 / $2,176.39	Professional		$1,373.31	$1,587.90	$2,176.39
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 $1,615.22 / $1,676.17 / $2,626.13	Professional		$1,615.22	$1,676.17	$2,626.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.01 / $2,057.12 / $3,379.56	Professional		$1,561.01	$2,057.12	$3,379.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.01 / $2,734.21 / $2,734.21	Professional		$2,020.01	$2,734.21	$2,734.21
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 $1,373.31 / $1,646.37 / $5,958.00	Professional		$1,373.31	$1,646.37	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,764.40 / $4,016.70	Professional		$10.00	$1,764.40	$4,016.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.01 / $2,057.12 / $3,422.84	Professional		$1,561.01	$2,057.12	$3,422.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,542.85 / $1,571.89 / $1,571.89	Facility		$1,542.85	$1,571.89	$1,571.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,494.45 / $1,571.89 / $1,669.24	Professional		$1,494.45	$1,571.89	$1,669.24
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 $1,619.20 / $2,177.02 / $3,410.66	Professional		$1,619.20	$2,177.02	$3,410.66