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 $1,447.09 / $1,620.95 / $1,984.55	Professional		$1,447.09	$1,620.95	$1,984.55
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 $1,244.83 / $1,858.79 / $2,755.26	Professional		$1,244.83	$1,858.79	$2,755.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.44 / $1,898.70 / $2,930.99	Professional		$1,377.44	$1,898.70	$2,930.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,127.51 / $2,127.51 / $2,266.28	Professional		$2,127.51	$2,127.51	$2,266.28
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 $1,426.00 / $1,699.61 / $5,958.00	Professional		$1,426.00	$1,699.61	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,442.20 / $3,586.00	Professional		$15.00	$1,442.20	$3,586.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,464.50 / $1,906.27 / $2,958.00	Professional		$1,464.50	$1,906.27	$2,958.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,382.54 / $1,382.54 / $1,425.30	Facility		$1,382.54	$1,382.54	$1,425.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,315.41 / $1,410.19 / $1,440.88	Professional		$1,315.41	$1,410.19	$1,440.88
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 $1,367.36 / $1,851.24 / $2,924.01	Professional		$1,367.36	$1,851.24	$2,924.01