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 $983.78 / $2,105.98 / $2,506.76	Professional		$983.78	$2,105.98	$2,506.76
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 $1,870.44 / $2,607.79 / $3,838.53	Professional		$1,870.44	$2,607.79	$3,838.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,092.76 / $4,092.76 / $4,147.35	Professional		$4,092.76	$4,092.76	$4,147.35
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 $983.78 / $2,105.98 / $4,137.10	Professional		$983.78	$2,105.98	$4,137.10
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 $1,987.18 / $2,539.60 / $3,784.49	Professional		$1,987.18	$2,539.60	$3,784.49
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 / $2,350.69 / $3,063.04	Professional		$1,523.23	$2,350.69	$3,063.04
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 $1,617.08 / $2,384.65 / $4,390.05	Professional		$1,617.08	$2,384.65	$4,390.05