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 $1,551.28 / $1,754.51 / $2,266.46	Professional		$1,551.28	$1,754.51	$2,266.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,639.91 / $11,851.00 / $28,970.26	Facility		$8,639.91	$11,851.00	$28,970.26
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,691.75 / $1,755.59 / $1,755.59	Professional		$1,691.75	$1,755.59	$1,755.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.16 / $2,154.58 / $3,542.90	Professional		$1,577.16	$2,154.58	$3,542.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,035.29 / $2,700.13 / $2,744.72	Professional		$2,035.29	$2,700.13	$2,744.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $3,120.00 / $8,017.00	Facility		$954.00	$3,120.00	$8,017.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,411.06 / $1,788.91 / $4,712.32	Professional		$1,411.06	$1,788.91	$4,712.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,622.50 / $4,596.70	Professional		$6.00	$1,622.50	$4,596.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.97 / $2,227.23 / $3,548.02	Professional		$1,647.97	$2,227.23	$3,548.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,507.55 / $1,688.58 / $1,688.58	Facility		$1,507.55	$1,688.58	$1,688.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,507.55 / $1,688.58 / $1,807.44	Professional		$1,507.55	$1,688.58	$1,807.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,332.00 / $3,914.00 / $7,000.00	Facility		$2,332.00	$3,914.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,398.31 / $2,005.29 / $3,366.80	Professional		$1,398.31	$2,005.29	$3,366.80