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 $1,071.57 / $1,179.89 / $1,495.55	Professional		$1,071.57	$1,179.89	$1,495.55
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 $1,074.84 / $1,115.41 / $1,115.41	Professional		$1,074.84	$1,115.41	$1,115.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.25 / $1,387.23 / $2,169.66	Professional		$1,050.25	$1,387.23	$2,169.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.32 / $1,657.32 / $1,733.30	Professional		$1,657.32	$1,657.32	$1,733.30
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 $1,066.32 / $1,282.43 / $2,843.00	Professional		$1,066.32	$1,282.43	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,069.50 / $2,685.30	Professional		$25.00	$2,069.50	$2,685.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.15 / $1,404.46 / $2,169.66	Professional		$1,071.15	$1,404.46	$2,169.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,049.73 / $1,049.73 / $1,812.82	Facility		$1,049.73	$1,049.73	$1,812.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,006.01 / $1,066.61 / $1,812.82	Professional		$1,006.01	$1,066.61	$1,812.82
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 $1,053.15 / $1,414.39 / $2,198.12	Professional		$1,053.15	$1,414.39	$2,198.12