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 $1,368.04 / $1,559.61 / $1,956.18	Professional		$1,368.04	$1,559.61	$1,956.18
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 $1,400.39 / $1,453.23 / $1,453.23	Professional		$1,400.39	$1,453.23	$1,453.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.76 / $1,804.39 / $2,836.40	Professional		$1,352.76	$1,804.39	$2,836.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,147.06 / $2,147.06 / $2,242.03	Professional		$2,147.06	$2,147.06	$2,242.03
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 $1,336.60 / $1,693.15 / $5,958.00	Professional		$1,336.60	$1,693.15	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,227.30 / $3,502.00	Professional		$15.00	$2,227.30	$3,502.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.16 / $1,815.50 / $2,836.40	Professional		$1,392.16	$1,815.50	$2,836.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,372.53 / $1,372.53 / $1,422.57	Facility		$1,372.53	$1,372.53	$1,422.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,314.97 / $1,395.13 / $1,438.66	Professional		$1,314.97	$1,395.13	$1,438.66
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 $1,318.68 / $1,746.92 / $2,821.32	Professional		$1,318.68	$1,746.92	$2,821.32