Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $4,051.00 / $8,990.00	Facility		$1,301.00	$4,051.00	$8,990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.78 / $1,463.84 / $1,829.60	Professional		$1,297.78	$1,463.84	$1,829.60
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 $1,314.62 / $1,364.23 / $1,364.23	Professional		$1,314.62	$1,364.23	$1,364.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.60 / $1,674.28 / $2,651.39	Professional		$1,291.60	$1,674.28	$2,651.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.53 / $2,026.53 / $2,120.04	Professional		$2,026.53	$2,026.53	$2,120.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $5,350.00 / $9,760.00	Facility		$1,013.00	$5,350.00	$9,760.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,229.74 / $1,579.92 / $5,958.00	Professional		$1,229.74	$1,579.92	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,339.00 / $3,280.30	Professional		$25.00	$2,339.00	$3,280.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.22 / $1,696.20 / $2,651.39	Professional		$1,302.22	$1,696.20	$2,651.39
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,283.94 / $1,283.94 / $1,452.59	Facility		$1,283.94	$1,283.94	$1,452.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,229.98 / $1,304.84 / $1,452.59	Professional		$1,229.98	$1,304.84	$1,452.59
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 $1,234.92 / $1,657.22 / $2,705.23	Professional		$1,234.92	$1,657.22	$2,705.23