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 $1,074.45 / $1,238.02 / $1,639.36	Professional		$1,074.45	$1,238.02	$1,639.36
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 $1,218.27 / $1,264.24 / $1,264.24	Professional		$1,218.27	$1,264.24	$1,264.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.79 / $1,591.80 / $2,603.67	Professional		$1,188.79	$1,591.80	$2,603.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,465.47 / $1,963.10 / $1,963.10	Professional		$1,465.47	$1,963.10	$1,963.10
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 $1,074.45 / $1,262.29 / $3,160.27	Professional		$1,074.45	$1,262.29	$3,160.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $1,680.20 / $3,039.50	Professional		$12.00	$1,680.20	$3,039.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.90 / $1,592.72 / $2,628.90	Professional		$1,188.90	$1,592.72	$2,628.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,192.07 / $1,192.07 / $1,317.90	Facility		$1,192.07	$1,192.07	$1,317.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,141.31 / $1,212.41 / $1,317.90	Professional		$1,141.31	$1,212.41	$1,317.90
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 $1,089.42 / $1,545.08 / $2,632.16	Professional		$1,089.42	$1,545.08	$2,632.16