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 $1,283.99 / $1,478.43 / $1,956.00	Professional		$1,283.99	$1,478.43	$1,956.00
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 $1,283.61 / $2,056.73 / $2,799.46	Professional		$1,283.61	$2,056.73	$2,799.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.13 / $1,901.87 / $3,021.29	Professional		$1,418.13	$1,901.87	$3,021.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.05 / $2,345.40 / $2,345.40	Professional		$1,751.05	$2,345.40	$2,345.40
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 $1,283.99 / $1,507.42 / $3,778.18	Professional		$1,283.99	$1,507.42	$3,778.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,896.60 / $3,635.00	Professional		$15.00	$1,896.60	$3,635.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.13 / $1,905.76 / $3,129.09	Professional		$1,418.13	$1,905.76	$3,129.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,422.98 / $1,422.98 / $1,472.43	Facility		$1,422.98	$1,422.98	$1,472.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,363.00 / $1,446.63 / $1,494.66	Professional		$1,363.00	$1,446.63	$1,494.66
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 $1,292.73 / $1,822.84 / $2,961.09	Professional		$1,292.73	$1,822.84	$2,961.09