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 $1,875.00 / $1,875.00 / $2,400.00	Professional		$1,875.00	$1,875.00	$2,400.00
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 $1,131.83 / $1,174.55 / $1,174.55	Professional		$1,131.83	$1,174.55	$1,174.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.00 / $385.00 / $595.00	Professional		$294.00	$385.00	$595.00
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 $1,875.00 / $1,875.00 / $3,315.00	Professional		$1,875.00	$1,875.00	$3,315.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $5,496.90	Professional		$7.00	$7.00	$5,496.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $595.00 / $595.00	Professional		$595.00	$595.00	$595.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,529.35 / $4,529.35 / $4,529.35	Facility		$4,529.35	$4,529.35	$4,529.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,529.35 / $4,529.35 / $4,529.35	Professional		$4,529.35	$4,529.35	$4,529.35
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