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 $1,216.75 / $1,405.05 / $1,860.20	Professional		$1,216.75	$1,405.05	$1,860.20
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 $1,379.23 / $1,431.28 / $1,431.28	Professional		$1,379.23	$1,431.28	$1,431.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.31 / $1,804.67 / $2,852.02	Professional		$1,335.31	$1,804.67	$2,852.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.96 / $2,221.28 / $2,221.28	Professional		$1,657.96	$2,221.28	$2,221.28
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 $1,216.75 / $1,432.60 / $3,580.32	Professional		$1,216.75	$1,432.60	$3,580.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,278.60 / $3,441.80	Professional		$18.00	$2,278.60	$3,441.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.17 / $1,804.67 / $3,154.69	Professional		$1,355.17	$1,804.67	$3,154.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,351.76 / $1,351.76 / $1,701.68	Facility		$1,351.76	$1,351.76	$1,701.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,293.38 / $1,375.68 / $1,701.68	Professional		$1,293.38	$1,375.68	$1,701.68
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 $1,238.71 / $1,803.14 / $3,065.69	Professional		$1,238.71	$1,803.14	$3,065.69