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 $1,120.19 / $1,280.28 / $1,606.41	Professional		$1,120.19	$1,280.28	$1,606.41
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 $1,151.92 / $1,195.39 / $1,195.39	Professional		$1,151.92	$1,195.39	$1,195.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.08 / $1,491.95 / $2,335.30	Professional		$1,140.08	$1,491.95	$2,335.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.13 / $1,771.13 / $1,845.62	Professional		$1,771.13	$1,771.13	$1,845.62
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 $1,113.83 / $1,391.56 / $5,958.00	Professional		$1,113.83	$1,391.56	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,044.90 / $2,884.10	Professional		$15.00	$2,044.90	$2,884.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.77 / $1,498.97 / $2,335.30	Professional		$1,169.77	$1,498.97	$2,335.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,128.02 / $1,128.02 / $1,277.85	Facility		$1,128.02	$1,128.02	$1,277.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,081.78 / $1,145.73 / $1,277.85	Professional		$1,081.78	$1,145.73	$1,277.85
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 $1,134.88 / $1,447.07 / $2,354.76	Professional		$1,134.88	$1,447.07	$2,354.76