Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $3,839.00 / $8,247.00	Facility		$1,013.00	$3,839.00	$8,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.44 / $1,236.04 / $1,637.18	Professional		$1,071.44	$1,236.04	$1,637.18
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 $1,215.25 / $1,261.10 / $1,261.10	Professional		$1,215.25	$1,261.10	$1,261.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.18 / $1,569.73 / $2,522.64	Professional		$1,175.18	$1,569.73	$2,522.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.30 / $1,957.75 / $1,957.75	Professional		$1,461.30	$1,957.75	$1,957.75
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 $1,071.44 / $1,260.27 / $3,151.43	Professional		$1,071.44	$1,260.27	$3,151.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,368.10 / $3,030.00	Professional		$15.00	$1,368.10	$3,030.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.18 / $1,577.25 / $2,583.67	Professional		$1,175.18	$1,577.25	$2,583.67
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,189.93 / $1,189.93 / $1,331.82	Facility		$1,189.93	$1,189.93	$1,331.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,138.74 / $1,210.76 / $1,331.82	Professional		$1,138.74	$1,210.76	$1,331.82
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 $1,060.40 / $1,421.61 / $2,480.86	Professional		$1,060.40	$1,421.61	$2,480.86