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 $1,200.28 / $1,381.60 / $1,828.29	Professional		$1,200.28	$1,381.60	$1,828.29
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 $1,358.99 / $1,410.28 / $1,410.28	Professional		$1,358.99	$1,410.28	$1,410.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.20 / $1,770.80 / $2,822.62	Professional		$1,310.20	$1,770.80	$2,822.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.49 / $2,190.53 / $2,190.53	Professional		$1,635.49	$2,190.53	$2,190.53
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 $1,221.42 / $1,459.35 / $3,532.59	Professional		$1,221.42	$1,459.35	$3,532.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,671.20 / $3,399.20	Professional		$18.00	$1,671.20	$3,399.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.31 / $1,803.19 / $2,954.37	Professional		$1,345.31	$1,803.19	$2,954.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,330.19 / $1,330.19 / $1,405.63	Facility		$1,330.19	$1,330.19	$1,405.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,274.23 / $1,352.18 / $1,405.63	Professional		$1,274.23	$1,352.18	$1,405.63
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 $1,212.43 / $1,608.03 / $2,763.30	Professional		$1,212.43	$1,608.03	$2,763.30