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 $1,229.94 / $1,393.15 / $1,748.20	Professional		$1,229.94	$1,393.15	$1,748.20
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 $1,027.45 / $1,623.07 / $2,357.35	Professional		$1,027.45	$1,623.07	$2,357.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.75 / $1,586.21 / $2,517.08	Professional		$1,208.75	$1,586.21	$2,517.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.30 / $1,759.30 / $1,871.62	Professional		$1,759.30	$1,759.30	$1,871.62
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 $1,183.21 / $1,499.89 / $5,958.00	Professional		$1,183.21	$1,499.89	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,778.90 / $3,081.30	Professional		$10.00	$1,778.90	$3,081.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.21 / $1,629.24 / $2,517.08	Professional		$1,243.21	$1,629.24	$2,517.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,222.47 / $1,222.47 / $1,423.54	Facility		$1,222.47	$1,222.47	$1,423.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,167.41 / $1,246.52 / $1,423.54	Professional		$1,167.41	$1,246.52	$1,423.54
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 $1,170.65 / $1,572.81 / $2,596.17	Professional		$1,170.65	$1,572.81	$2,596.17