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 $1,219.58 / $1,403.81 / $1,852.67	Professional		$1,219.58	$1,403.81	$1,852.67
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 $1,225.90 / $1,272.16 / $1,272.16	Professional		$1,225.90	$1,272.16	$1,272.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.83 / $1,605.46 / $2,476.84	Professional		$1,196.83	$1,605.46	$2,476.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,886.00 / $1,886.00 / $1,975.72	Professional		$1,886.00	$1,886.00	$1,975.72
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 $1,219.57 / $1,403.81 / $3,549.42	Professional		$1,219.57	$1,403.81	$3,549.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,213.80 / $3,060.10	Professional		$25.00	$2,213.80	$3,060.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.92 / $1,605.46 / $2,476.84	Professional		$1,220.92	$1,605.46	$2,476.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,199.02 / $1,199.02 / $1,897.04	Facility		$1,199.02	$1,199.02	$1,897.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.23 / $1,219.21 / $1,897.04	Professional		$1,148.23	$1,219.21	$1,897.04
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 $1,203.56 / $1,579.79 / $2,495.26	Professional		$1,203.56	$1,579.79	$2,495.26