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 $1,152.45 / $1,302.43 / $1,628.88	Professional		$1,152.45	$1,302.43	$1,628.88
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 $1,030.40 / $1,212.23 / $1,212.23	Professional		$1,030.40	$1,212.23	$1,212.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.21 / $1,509.20 / $2,359.46	Professional		$1,154.21	$1,509.20	$2,359.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.38 / $1,798.38 / $1,882.63	Professional		$1,798.38	$1,798.38	$1,882.63
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 $1,095.01 / $1,405.97 / $5,958.00	Professional		$1,095.01	$1,405.97	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,091.40 / $2,916.60	Professional		$15.00	$2,091.40	$2,916.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.22 / $1,526.11 / $2,359.46	Professional		$1,186.22	$1,526.11	$2,359.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,142.69 / $1,142.69 / $1,897.10	Facility		$1,142.69	$1,142.69	$1,897.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,094.77 / $1,161.67 / $1,897.10	Professional		$1,094.77	$1,161.67	$1,897.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,742.00 / $6,911.00 / $13,797.00	Facility		$3,742.00	$6,911.00	$13,797.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.54 / $1,463.79 / $2,377.73	Professional		$1,098.54	$1,463.79	$2,377.73