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 $1,244.70 / $1,429.97 / $1,787.40	Professional		$1,244.70	$1,429.97	$1,787.40
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 $1,282.07 / $1,330.45 / $1,330.45	Professional		$1,282.07	$1,330.45	$1,330.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.70 / $1,632.82 / $2,591.27	Professional		$1,252.70	$1,632.82	$2,591.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,973.86 / $1,973.86 / $2,065.89	Professional		$1,973.86	$1,973.86	$2,065.89
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 $1,212.74 / $1,544.09 / $5,958.00	Professional		$1,212.74	$1,544.09	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,287.40 / $3,202.90	Professional		$15.00	$2,287.40	$3,202.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.97 / $1,656.04 / $2,591.27	Professional		$1,269.97	$1,656.04	$2,591.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,253.91 / $1,253.91 / $2,135.19	Facility		$1,253.91	$1,253.91	$2,135.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,201.08 / $1,274.72 / $2,135.19	Professional		$1,201.08	$1,274.72	$2,135.19
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 $1,198.85 / $1,607.43 / $2,644.82	Professional		$1,198.85	$1,607.43	$2,644.82