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 $1,104.73 / $1,285.89 / $1,656.11	Professional		$1,104.73	$1,285.89	$1,656.11
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 $1,188.81 / $1,233.67 / $1,233.67	Professional		$1,188.81	$1,233.67	$1,233.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.72 / $1,535.22 / $2,400.77	Professional		$1,161.72	$1,535.22	$2,400.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.70 / $1,832.70 / $1,916.44	Professional		$1,832.70	$1,832.70	$1,916.44
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 $1,104.73 / $1,330.91 / $2,861.16	Professional		$1,104.73	$1,330.91	$2,861.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,131.00 / $2,970.30	Professional		$15.00	$2,131.00	$2,970.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.59 / $1,537.06 / $2,400.77	Professional		$1,177.59	$1,537.06	$2,400.77
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,162.23 / $1,162.23 / $1,552.38	Facility		$1,162.23	$1,162.23	$1,552.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,113.65 / $1,181.11 / $1,552.38	Professional		$1,113.65	$1,181.11	$1,552.38
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 $1,110.26 / $1,488.82 / $2,376.44	Professional		$1,110.26	$1,488.82	$2,376.44