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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.58 / $1,519.77 / $1,940.02	Professional		$1,266.58	$1,519.77	$1,940.02
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 $1,390.64 / $1,443.11 / $2,228.90	Professional		$1,390.64	$1,443.11	$2,228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.03 / $1,796.08 / $2,811.02	Professional		$1,374.03	$1,796.08	$2,811.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,138.29 / $2,138.29 / $2,240.67	Professional		$2,138.29	$2,138.29	$2,240.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,013.00 / $4,761.00 / $8,427.00	Facility		$1,013.00	$4,761.00	$8,427.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,266.58 / $1,551.20 / $3,350.08	Professional		$1,266.58	$1,551.20	$3,350.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,510.60 / $3,470.90	Professional		$25.00	$2,510.60	$3,470.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.12 / $1,817.97 / $2,811.02	Professional		$1,443.12	$1,817.97	$2,811.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,360.37 / $1,360.37 / $2,129.46	Facility		$1,360.37	$1,360.37	$2,129.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,302.25 / $1,383.53 / $2,129.46	Professional		$1,302.25	$1,383.53	$2,129.46
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 $1,321.94 / $1,794.00 / $2,872.55	Professional		$1,321.94	$1,794.00	$2,872.55