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 $1,300.74 / $1,488.70 / $1,838.63	Professional		$1,300.74	$1,488.70	$1,838.63
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 $1,312.81 / $1,362.35 / $1,362.35	Professional		$1,312.81	$1,362.35	$1,362.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.92 / $1,714.38 / $2,658.80	Professional		$1,297.92	$1,714.38	$2,658.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.95 / $2,011.95 / $2,113.58	Professional		$2,011.95	$2,011.95	$2,113.58
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 $1,300.74 / $1,584.33 / $5,958.00	Professional		$1,300.74	$1,584.33	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,428.69 / $3,276.40	Professional		$15.00	$2,428.69	$3,276.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.01 / $1,717.93 / $2,658.80	Professional		$1,345.01	$1,717.93	$2,658.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.01 / $1,288.01 / $1,672.29	Facility		$1,288.01	$1,288.01	$1,672.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,232.06 / $1,311.14 / $1,672.29	Professional		$1,232.06	$1,311.14	$1,672.29
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 $1,300.43 / $1,715.92 / $2,729.45	Professional		$1,300.43	$1,715.92	$2,729.45