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 $1,176.33 / $1,403.02 / $1,816.23	Professional		$1,176.33	$1,403.02	$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 / $1,673.58 / $2,631.89	Professional		$1,272.13	$1,673.58	$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 $1,176.33 / $1,461.05 / $3,136.60	Professional		$1,176.33	$1,461.05	$3,136.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,307.40 / $3,252.60	Professional		$15.00	$2,307.40	$3,252.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.49 / $1,682.70 / $2,631.89	Professional		$1,289.49	$1,682.70	$2,631.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,274.01 / $1,274.01 / $1,982.35	Facility		$1,274.01	$1,274.01	$1,982.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,220.22 / $1,295.28 / $1,982.35	Professional		$1,220.22	$1,295.28	$1,982.35
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 $1,271.14 / $1,678.79 / $2,600.44	Professional		$1,271.14	$1,678.79	$2,600.44