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 $1,244.98 / $1,465.31 / $1,816.23	Professional		$1,244.98	$1,465.31	$1,816.23
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 $1,303.08 / $1,352.26 / $1,352.26	Professional		$1,303.08	$1,352.26	$1,352.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.13 / $1,682.70 / $2,631.89	Professional		$1,272.13	$1,682.70	$2,631.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,005.67 / $2,005.67 / $2,100.38	Professional		$2,005.67	$2,005.67	$2,100.38
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 $1,171.93 / $1,568.30 / $5,958.00	Professional		$1,171.93	$1,568.30	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,398.30 / $3,252.60	Professional		$15.00	$2,398.30	$3,252.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.81 / $1,684.23 / $2,631.89	Professional		$1,283.81	$1,684.23	$2,631.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,274.01 / $1,274.01 / $1,983.47	Facility		$1,274.01	$1,274.01	$1,983.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.22 / $1,295.28 / $1,983.47	Professional		$1,220.22	$1,295.28	$1,983.47
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 $1,268.89 / $1,632.01 / $2,607.82	Professional		$1,268.89	$1,632.01	$2,607.82