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 $1,140.38 / $1,291.96 / $1,571.74	Professional		$1,140.38	$1,291.96	$1,571.74
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 $987.11 / $1,468.75 / $2,130.80	Professional		$987.11	$1,468.75	$2,130.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.77 / $1,508.27 / $2,323.21	Professional		$1,093.77	$1,508.27	$2,323.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,691.25 / $1,691.25 / $1,798.27	Professional		$1,691.25	$1,691.25	$1,798.27
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 $1,085.30 / $1,347.74 / $5,736.76	Professional		$1,085.30	$1,347.74	$5,736.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,986.30 / $2,750.40	Professional		$10.00	$1,986.30	$2,750.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.32 / $1,516.55 / $2,353.27	Professional		$1,161.32	$1,516.55	$2,353.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,095.85 / $1,095.85 / $1,447.09	Facility		$1,095.85	$1,095.85	$1,447.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,043.48 / $1,117.78 / $1,447.09	Professional		$1,043.48	$1,117.78	$1,447.09
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 $1,103.26 / $1,456.03 / $2,311.76	Professional		$1,103.26	$1,456.03	$2,311.76