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 $1,335.47 / $1,478.23 / $1,906.89	Professional		$1,335.47	$1,478.23	$1,906.89
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 $1,367.06 / $1,418.65 / $2,094.96	Professional		$1,367.06	$1,418.65	$2,094.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,337.86 / $1,741.06 / $2,772.76	Professional		$1,337.86	$1,741.06	$2,772.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,097.21 / $2,097.21 / $2,197.54	Professional		$2,097.21	$2,097.21	$2,197.54
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 $1,214.54 / $1,478.23 / $4,907.14	Professional		$1,214.54	$1,478.23	$4,907.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,472.00 / $3,420.70	Professional		$20.00	$2,472.00	$3,420.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.08 / $1,773.50 / $2,772.76	Professional		$1,365.08	$1,773.50	$2,772.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,338.12 / $1,338.12 / $1,770.06	Facility		$1,338.12	$1,338.12	$1,770.06
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,282.15 / $1,359.99 / $1,770.06	Professional		$1,282.15	$1,359.99	$1,770.06
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 $1,291.46 / $1,774.78 / $2,803.24	Professional		$1,291.46	$1,774.78	$2,803.24