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 $1,326.99 / $1,459.68 / $1,876.89	Professional		$1,326.99	$1,459.68	$1,876.89
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 $1,344.21 / $1,394.93 / $1,394.93	Professional		$1,344.21	$1,394.93	$1,394.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.87 / $1,739.87 / $2,726.16	Professional		$1,315.87	$1,739.87	$2,726.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.03 / $2,062.03 / $2,152.58	Professional		$2,062.03	$2,062.03	$2,152.58
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 $1,318.57 / $1,498.20 / $3,248.96	Professional		$1,318.57	$1,498.20	$3,248.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,246.40 / $3,361.40	Professional		$15.00	$2,246.40	$3,361.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.83 / $1,742.59 / $2,726.16	Professional		$1,335.83	$1,742.59	$2,726.16
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,317.10 / $1,317.10 / $1,487.14	Facility		$1,317.10	$1,317.10	$1,487.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,262.06 / $1,338.59 / $1,487.14	Professional		$1,262.06	$1,338.59	$1,487.14
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,322.00	Facility		$656.00	$2,391.00	$6,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.40 / $1,687.21 / $2,707.20	Professional		$1,276.40	$1,687.21	$2,707.20