Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $3,964.00 / $8,427.00	Facility		$1,301.00	$3,964.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.53 / $1,794.79 / $2,299.46	Professional		$1,510.53	$1,794.79	$2,299.46
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 $1,645.61 / $1,707.71 / $1,707.71	Professional		$1,645.61	$1,707.71	$1,707.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.23 / $2,125.94 / $3,325.21	Professional		$1,629.23	$2,125.94	$3,325.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,524.25 / $2,524.25 / $2,650.36	Professional		$2,524.25	$2,524.25	$2,650.36
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 $1,510.53 / $1,969.13 / $5,884.87	Professional		$1,510.53	$1,969.13	$5,884.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,953.20 / $4,099.30	Professional		$20.00	$2,953.20	$4,099.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.90 / $2,152.92 / $3,325.21	Professional		$1,690.90	$2,152.92	$3,325.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,611.25 / $1,611.25 / $2,877.51	Facility		$1,611.25	$1,611.25	$2,877.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,541.63 / $1,639.80 / $2,877.51	Professional		$1,541.63	$1,639.80	$2,877.51
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 $1,548.66 / $2,091.51 / $3,303.47	Professional		$1,548.66	$2,091.51	$3,303.47