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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.64 / $1,618.85 / $1,879.05	Professional		$1,446.64	$1,618.85	$1,879.05
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 $1,179.27 / $2,236.14 / $3,206.29	Professional		$1,179.27	$2,236.14	$3,206.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.31 / $2,064.51 / $3,056.68	Professional		$1,320.31	$2,064.51	$3,056.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,029.88 / $2,029.88 / $2,135.26	Professional		$2,029.88	$2,029.88	$2,135.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,426.00 / $1,670.49 / $5,958.00	Professional		$1,426.00	$1,670.49	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,809.80 / $3,406.90	Professional		$15.00	$2,809.80	$3,406.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.43 / $2,104.64 / $3,103.93	Professional		$1,450.43	$2,104.64	$3,103.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,314.49 / $1,314.49 / $1,511.16	Facility		$1,314.49	$1,314.49	$1,511.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,255.77 / $1,339.88 / $1,511.16	Professional		$1,255.77	$1,339.88	$1,511.16
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 $1,384.16 / $1,881.08 / $2,816.91	Professional		$1,384.16	$1,881.08	$2,816.91