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 / $8,451.00	Facility		$1,301.00	$3,964.00	$8,451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.43 / $1,223.83 / $1,531.60	Professional		$1,080.43	$1,223.83	$1,531.60
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 $1,098.68 / $1,140.14 / $1,140.14	Professional		$1,098.68	$1,140.14	$1,140.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.22 / $1,420.16 / $2,229.19	Professional		$1,076.22	$1,420.16	$2,229.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,688.02 / $1,688.02 / $1,760.31	Professional		$1,688.02	$1,688.02	$1,760.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,342.00 / $8,990.00	Facility		$1,013.00	$5,342.00	$8,990.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,045.84 / $1,328.34 / $5,703.40	Professional		$1,045.84	$1,328.34	$5,703.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,009.30 / $2,751.70	Professional		$15.00	$2,009.30	$2,751.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.68 / $1,424.47 / $2,229.19	Professional		$1,089.68	$1,424.47	$2,229.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,075.43 / $1,075.43 / $1,383.92	Facility		$1,075.43	$1,075.43	$1,383.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,031.81 / $1,092.38 / $1,383.92	Professional		$1,031.81	$1,092.38	$1,383.92
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 $1,044.16 / $1,399.72 / $2,280.87	Professional		$1,044.16	$1,399.72	$2,280.87