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 / $8,427.00	Facility		$1,020.00	$3,839.00	$8,427.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.95 / $1,471.64 / $1,839.86	Professional		$1,310.95	$1,471.64	$1,839.86
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 $1,320.43 / $1,370.26 / $1,370.26	Professional		$1,320.43	$1,370.26	$1,370.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.75 / $1,704.09 / $2,665.72	Professional		$1,303.75	$1,704.09	$2,665.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,031.99 / $2,031.99 / $2,128.56	Professional		$2,031.99	$2,031.99	$2,128.56
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 $1,238.43 / $1,588.45 / $5,958.00	Professional		$1,238.43	$1,588.45	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,384.50 / $3,294.10	Professional		$25.00	$2,384.50	$3,294.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.44 / $1,725.02 / $2,665.72	Professional		$1,310.44	$1,725.02	$2,665.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,290.50 / $1,290.50 / $1,993.43	Facility		$1,290.50	$1,290.50	$1,993.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,235.93 / $1,312.12 / $1,993.43	Professional		$1,235.93	$1,312.12	$1,993.43
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.69 / $1,700.51 / $2,685.94	Professional		$1,295.69	$1,700.51	$2,685.94