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 $1,303.54 / $1,450.47 / $1,741.31	Professional		$1,303.54	$1,450.47	$1,741.31
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 $1,244.29 / $1,291.25 / $1,291.25	Professional		$1,244.29	$1,291.25	$1,291.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.66 / $1,657.45 / $2,525.30	Professional		$1,215.66	$1,657.45	$2,525.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.27 / $1,908.27 / $2,003.54	Professional		$1,908.27	$1,908.27	$2,003.54
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 $1,303.54 / $1,492.96 / $3,004.90	Professional		$1,303.54	$1,492.96	$3,004.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,443.10 / $3,108.20	Professional		$15.00	$2,443.10	$3,108.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.60 / $1,659.32 / $2,525.30	Professional		$1,234.60	$1,659.32	$2,525.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,220.11 / $1,220.11 / $1,879.04	Facility		$1,220.11	$1,220.11	$1,879.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,167.36 / $1,241.76 / $1,879.04	Professional		$1,167.36	$1,241.76	$1,879.04
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 $1,228.59 / $1,576.55 / $2,548.29	Professional		$1,228.59	$1,576.55	$2,548.29