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 $1,456.63 / $1,592.98 / $2,080.10	Professional		$1,456.63	$1,592.98	$2,080.10
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 $1,610.25 / $1,671.01 / $1,671.01	Professional		$1,610.25	$1,671.01	$1,671.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.07 / $2,119.05 / $3,287.02	Professional		$1,563.07	$2,119.05	$3,287.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,909.91 / $2,533.54 / $2,543.69	Professional		$1,909.91	$2,533.54	$2,543.69
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 $1,456.63 / $1,667.03 / $4,323.32	Professional		$1,456.63	$1,667.03	$4,323.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,764.40 / $4,190.39	Professional		$6.00	$1,764.40	$4,190.39
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.22 / $2,130.21 / $3,461.45	Professional		$1,568.22	$2,130.21	$3,461.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,451.79 / $1,597.63 / $1,597.63	Facility		$1,451.79	$1,597.63	$1,597.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,451.79 / $1,597.63 / $1,690.34	Professional		$1,451.79	$1,597.63	$1,690.34
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 $1,397.16 / $1,920.34 / $3,212.13	Professional		$1,397.16	$1,920.34	$3,212.13