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 $1,161.43 / $1,339.52 / $1,915.09	Professional		$1,161.43	$1,339.52	$1,915.09
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 $1,317.20 / $1,366.90 / $1,366.90	Professional		$1,317.20	$1,366.90	$1,366.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.68 / $1,722.44 / $2,788.50	Professional		$1,284.68	$1,722.44	$2,788.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.83 / $2,121.77 / $2,121.77	Professional		$1,583.83	$2,121.77	$2,121.77
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 $1,161.43 / $1,374.23 / $2,271.23	Professional		$1,161.43	$1,374.23	$2,271.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,755.80 / $3,284.70	Professional		$10.00	$1,755.80	$3,284.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.06 / $1,727.89 / $2,844.11	Professional		$1,299.06	$1,727.89	$2,844.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,289.33 / $1,289.33 / $1,457.81	Facility		$1,289.33	$1,289.33	$1,457.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,234.06 / $1,311.75 / $1,457.81	Professional		$1,234.06	$1,311.75	$1,457.81
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 $1,165.97 / $1,565.50 / $2,687.70	Professional		$1,165.97	$1,565.50	$2,687.70