Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $2,747.00 / $8,017.00	Facility		$1,028.00	$2,747.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.01 / $1,152.34 / $1,509.77	Professional		$984.01	$1,152.34	$1,509.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $8,639.91 / $79,506.39	Facility		$5,000.00	$8,639.91	$79,506.39
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,712.10 / $1,776.71 / $2,912.84	Professional		$1,712.10	$1,776.71	$2,912.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.66 / $1,356.66 / $1,749.45	Professional		$1,356.66	$1,356.66	$1,749.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,389.00 / $8,017.00	Facility		$954.00	$3,389.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $915.97 / $1,233.82 / $2,843.00	Professional		$915.97	$1,233.82	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,444.00 / $1,444.00 / $1,444.00	Facility		$1,444.00	$1,444.00	$1,444.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,674.08 / $1,674.08 / $1,737.25	Facility		$1,674.08	$1,674.08	$1,737.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $864.26 / $1,674.08 / $1,737.25	Professional		$864.26	$1,674.08	$1,737.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $8,639.00 / $20,021.00	Facility		$3,742.00	$8,639.00	$20,021.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.42 / $1,695.95 / $2,854.85	Professional		$1,136.42	$1,695.95	$2,854.85