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 $1,263.39 / $1,455.14 / $1,919.07	Professional		$1,263.39	$1,455.14	$1,919.07
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 $1,435.04 / $1,489.19 / $1,489.19	Professional		$1,435.04	$1,489.19	$1,489.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.18 / $1,877.89 / $3,001.80	Professional		$1,350.18	$1,877.89	$3,001.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,685.30 / $2,235.31 / $2,235.31	Professional		$1,685.30	$2,235.31	$2,235.31
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 $1,299.14 / $1,509.77 / $3,741.83	Professional		$1,299.14	$1,509.77	$3,741.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $1,928.30 / $3,609.50	Professional		$18.00	$1,928.30	$3,609.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.49 / $1,887.14 / $3,255.77	Professional		$1,389.49	$1,887.14	$3,255.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.08 / $1,412.08 / $1,727.03	Facility		$1,412.08	$1,412.08	$1,727.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,367.67 / $1,420.47 / $1,727.03	Professional		$1,367.67	$1,420.47	$1,727.03
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 $1,237.73 / $1,769.40 / $2,794.75	Professional		$1,237.73	$1,769.40	$2,794.75