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 $1,154.76 / $1,333.98 / $1,767.35	Professional		$1,154.76	$1,333.98	$1,767.35
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 $1,309.86 / $1,359.30 / $1,359.30	Professional		$1,309.86	$1,359.30	$1,359.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.40 / $1,732.68 / $2,746.62	Professional		$1,274.40	$1,732.68	$2,746.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.07 / $2,109.02 / $2,109.02	Professional		$1,574.07	$2,109.02	$2,109.02
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 $1,190.23 / $1,406.38 / $3,396.02	Professional		$1,190.23	$1,406.38	$3,396.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,959.70 / $3,263.80	Professional		$18.00	$1,959.70	$3,263.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.52 / $1,753.43 / $2,932.51	Professional		$1,297.52	$1,753.43	$2,932.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,283.83 / $1,283.83 / $1,618.27	Facility		$1,283.83	$1,283.83	$1,618.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,227.99 / $1,306.98 / $1,618.27	Professional		$1,227.99	$1,306.98	$1,618.27
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 $1,174.36 / $1,606.45 / $2,767.44	Professional		$1,174.36	$1,606.45	$2,767.44