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 $1,068.96 / $1,193.73 / $1,766.14	Professional		$1,068.96	$1,193.73	$1,766.14
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 $1,196.88 / $1,242.04 / $1,242.04	Professional		$1,196.88	$1,242.04	$1,242.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.74 / $1,534.74 / $2,374.33	Professional		$1,129.74	$1,534.74	$2,374.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.33 / $1,869.36 / $1,869.36	Professional		$1,409.33	$1,869.36	$1,869.36
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 $1,106.51 / $1,277.52 / $3,725.74	Professional		$1,106.51	$1,277.52	$3,725.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,609.70 / $2,964.30	Professional		$18.00	$1,609.70	$2,964.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,185.58 / $1,549.28 / $2,504.88	Professional		$1,185.58	$1,549.28	$2,504.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,176.55 / $1,176.55 / $1,493.08	Facility		$1,176.55	$1,176.55	$1,493.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,140.80 / $1,182.21 / $1,493.08	Professional		$1,140.80	$1,182.21	$1,493.08
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 $1,024.28 / $1,445.88 / $2,411.61	Professional		$1,024.28	$1,445.88	$2,411.61