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 $1,342.67 / $1,542.66 / $1,930.18	Professional		$1,342.67	$1,542.66	$1,930.18
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 $1,219.27 / $1,434.44 / $1,434.44	Professional		$1,219.27	$1,434.44	$1,434.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.35 / $1,785.53 / $2,794.91	Professional		$1,365.35	$1,785.53	$2,794.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.79 / $2,122.79 / $2,226.88	Professional		$2,122.79	$2,122.79	$2,226.88
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 $1,342.67 / $1,554.45 / $3,330.88	Professional		$1,342.67	$1,554.45	$3,330.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,494.19 / $3,448.00	Professional		$15.00	$2,494.19	$3,448.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.73 / $1,801.03 / $2,794.91	Professional		$1,408.73	$1,801.03	$2,794.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,352.97 / $1,352.97 / $2,173.69	Facility		$1,352.97	$1,352.97	$2,173.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,294.46 / $1,376.48 / $2,173.69	Professional		$1,294.46	$1,376.48	$2,173.69
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 $1,319.84 / $1,733.15 / $2,772.10	Professional		$1,319.84	$1,733.15	$2,772.10