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 $1,318.49 / $1,496.63 / $1,868.97	Professional		$1,318.49	$1,496.63	$1,868.97
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 $1,181.58 / $1,754.08 / $2,534.42	Professional		$1,181.58	$1,754.08	$2,534.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.54 / $1,711.63 / $2,717.83	Professional		$1,319.54	$1,711.63	$2,717.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.52 / $2,057.52 / $2,153.25	Professional		$2,057.52	$2,057.52	$2,153.25
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 $1,318.49 / $1,544.00 / $3,239.02	Professional		$1,318.49	$1,544.00	$3,239.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,646.90 / $3,354.80	Professional		$15.00	$1,646.90	$3,354.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.91 / $1,724.35 / $2,717.83	Professional		$1,326.91	$1,724.35	$2,717.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,157.86 / $1,310.89 / $1,310.89	Facility		$1,157.86	$1,310.89	$1,310.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,157.86 / $1,310.89 / $1,375.50	Professional		$1,157.86	$1,310.89	$1,375.50
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 $1,268.89 / $1,679.25 / $2,676.42	Professional		$1,268.89	$1,679.25	$2,676.42