Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,748.00 / $8,017.00	Facility		$1,068.00	$3,748.00	$8,017.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.93 / $1,246.33 / $1,637.28	Professional		$1,118.93	$1,246.33	$1,637.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,431.95 / $7,827.00 / $19,139.18	Facility		$6,431.95	$7,827.00	$19,139.18
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,075.55 / $1,743.60 / $2,325.85	Professional		$1,075.55	$1,743.60	$2,325.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.86 / $1,600.31 / $2,463.38	Professional		$1,173.86	$1,600.31	$2,463.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.26 / $1,903.66 / $1,903.66	Professional		$1,435.26	$1,903.66	$1,903.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,964.00 / $8,247.00	Facility		$832.00	$3,964.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,117.78 / $1,307.76 / $5,823.00	Professional		$1,117.78	$1,307.76	$5,823.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,549.70 / $3,110.80	Professional		$5.00	$1,549.70	$3,110.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.09 / $1,617.98 / $2,754.36	Professional		$1,184.09	$1,617.98	$2,754.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,206.33 / $1,206.33 / $1,328.46	Facility		$1,206.33	$1,206.33	$1,328.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,170.16 / $1,211.99 / $1,328.46	Professional		$1,170.16	$1,211.99	$1,328.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,475.00 / $6,000.00	Facility		$2,155.00	$3,475.00	$6,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.88 / $1,507.66 / $2,443.84	Professional		$1,078.88	$1,507.66	$2,443.84