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 $974.75 / $1,549.79 / $1,943.81	Professional		$974.75	$1,549.79	$1,943.81
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 $1,875.32 / $2,206.26 / $3,617.06	Professional		$1,875.32	$2,206.26	$3,617.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.41 / $1,903.74 / $3,091.21	Professional		$1,450.41	$1,903.74	$3,091.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,982.84 / $1,982.84 / $3,562.98	Professional		$1,982.84	$1,982.84	$3,562.98
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 $974.75 / $1,426.00 / $3,131.40	Professional		$974.75	$1,426.00	$3,131.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.41 / $1,924.37 / $2,976.43	Professional		$1,450.41	$1,924.37	$2,976.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,078.82 / $2,078.82 / $2,157.30	Facility		$2,078.82	$2,078.82	$2,157.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.77 / $2,078.82 / $2,157.30	Professional		$1,258.77	$2,078.82	$2,157.30
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 $1,505.63 / $2,139.52 / $3,959.95	Professional		$1,505.63	$2,139.52	$3,959.95