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 $1,061.13 / $1,787.64 / $2,128.15	Professional		$1,061.13	$1,787.64	$2,128.15
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 $2,079.00 / $2,445.88 / $4,009.93	Professional		$2,079.00	$2,445.88	$4,009.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.88 / $2,084.88 / $3,384.75	Professional		$1,587.88	$2,084.88	$3,384.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,496.53 / $2,496.53 / $4,092.76	Professional		$2,496.53	$2,496.53	$4,092.76
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 $1,061.13 / $1,843.54 / $4,033.84	Professional		$1,061.13	$1,843.54	$4,033.84
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 $1,587.88 / $2,107.10 / $3,258.76	Professional		$1,587.88	$2,107.10	$3,258.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,304.60 / $2,304.60 / $2,391.60	Facility		$2,304.60	$2,304.60	$2,391.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,523.23 / $2,304.60 / $2,391.60	Professional		$1,523.23	$2,304.60	$2,391.60
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.26 / $2,334.71 / $4,390.05	Professional		$1,641.26	$2,334.71	$4,390.05