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 $1,375.14 / $1,588.52 / $1,992.51	Professional		$1,375.14	$1,588.52	$1,992.51
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 $1,426.10 / $1,479.92 / $1,479.92	Professional		$1,426.10	$1,479.92	$1,479.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.73 / $1,816.27 / $2,850.19	Professional		$1,377.73	$1,816.27	$2,850.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,186.06 / $2,186.06 / $2,283.29	Professional		$2,186.06	$2,186.06	$2,283.29
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 $1,375.14 / $1,611.33 / $3,448.52	Professional		$1,375.14	$1,611.33	$3,448.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,342.10 / $3,565.80	Professional		$15.00	$2,342.10	$3,565.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.65 / $1,847.65 / $2,850.19	Professional		$1,412.65	$1,847.65	$2,850.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,397.90 / $1,397.90 / $1,675.50	Facility		$1,397.90	$1,397.90	$1,675.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,339.17 / $1,421.03 / $1,675.50	Professional		$1,339.17	$1,421.03	$1,675.50
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 $1,315.65 / $1,754.74 / $2,927.38	Professional		$1,315.65	$1,754.74	$2,927.38