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 $1,218.02 / $1,421.13 / $1,897.23	Professional		$1,218.02	$1,421.13	$1,897.23
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 $1,446.92 / $1,501.52 / $1,501.52	Professional		$1,446.92	$1,501.52	$1,501.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.41 / $1,818.29 / $2,931.71	Professional		$1,300.41	$1,818.29	$2,931.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.21 / $2,325.73 / $2,325.73	Professional		$1,739.21	$2,325.73	$2,325.73
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 $1,236.97 / $1,501.56 / $3,640.45	Professional		$1,236.97	$1,501.56	$3,640.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,647.50 / $3,504.90	Professional		$6.00	$1,647.50	$3,504.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.55 / $1,831.44 / $2,985.12	Professional		$1,342.55	$1,831.44	$2,985.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,382.88 / $1,382.88 / $1,382.88	Facility		$1,382.88	$1,382.88	$1,382.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,327.06 / $1,403.34 / $1,454.45	Professional		$1,327.06	$1,403.34	$1,454.45
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 $1,223.27 / $1,663.44 / $2,855.85	Professional		$1,223.27	$1,663.44	$2,855.85