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 $1,249.01 / $1,510.24 / $1,915.51	Professional		$1,249.01	$1,510.24	$1,915.51
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 $1,372.28 / $1,424.06 / $2,102.27	Professional		$1,372.28	$1,424.06	$2,102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.51 / $1,773.31 / $2,773.68	Professional		$1,354.51	$1,773.31	$2,773.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,107.59 / $2,107.59 / $2,210.67	Professional		$2,107.59	$2,107.59	$2,210.67
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 $1,249.01 / $1,641.72 / $5,958.00	Professional		$1,249.01	$1,641.72	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $2,479.80 / $3,422.60	Professional		$25.00	$2,479.80	$3,422.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.83 / $1,795.12 / $2,773.68	Professional		$1,389.83	$1,795.12	$2,773.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,342.79 / $1,342.79 / $2,168.44	Facility		$1,342.79	$1,342.79	$2,168.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,285.31 / $1,366.03 / $2,168.44	Professional		$1,285.31	$1,366.03	$2,168.44
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 $1,350.48 / $1,773.40 / $2,745.18	Professional		$1,350.48	$1,773.40	$2,745.18