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 $1,144.82 / $1,300.74 / $1,631.57	Professional		$1,144.82	$1,300.74	$1,631.57
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 $1,169.30 / $1,213.42 / $1,741.07	Professional		$1,169.30	$1,213.42	$1,741.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.70 / $1,515.05 / $2,373.10	Professional		$1,159.70	$1,515.05	$2,373.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,796.13 / $1,796.13 / $1,872.76	Professional		$1,796.13	$1,796.13	$1,872.76
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 $1,121.33 / $1,414.09 / $5,958.00	Professional		$1,121.33	$1,414.09	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,120.80 / $2,928.60	Professional		$15.00	$2,120.80	$2,928.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.94 / $1,525.46 / $2,373.10	Professional		$1,203.94	$1,525.46	$2,373.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,145.44 / $1,145.44 / $1,863.77	Facility		$1,145.44	$1,145.44	$1,863.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,097.78 / $1,163.67 / $1,863.77	Professional		$1,097.78	$1,163.67	$1,863.77
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 $1,153.33 / $1,515.54 / $2,393.77	Professional		$1,153.33	$1,515.54	$2,393.77