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 $1,229.99 / $1,409.01 / $1,808.67	Professional		$1,229.99	$1,409.01	$1,808.67
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 $1,264.34 / $1,312.06 / $1,312.06	Professional		$1,264.34	$1,312.06	$1,312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.71 / $1,631.43 / $2,552.53	Professional		$1,248.71	$1,631.43	$2,552.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.89 / $1,946.89 / $2,038.23	Professional		$1,946.89	$1,946.89	$2,038.23
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 $1,185.90 / $1,521.01 / $5,958.00	Professional		$1,185.90	$1,521.01	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,285.19 / $3,155.50	Professional		$15.00	$2,285.19	$3,155.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,651.85 / $2,552.53	Professional		$1,275.00	$1,651.85	$2,552.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,235.48 / $1,235.48 / $1,565.39	Facility		$1,235.48	$1,235.48	$1,565.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,183.70 / $1,255.96 / $1,565.39	Professional		$1,183.70	$1,255.96	$1,565.39
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.54 / $1,627.03 / $2,520.58	Professional		$1,198.54	$1,627.03	$2,520.58