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 $1,412.07 / $1,570.70 / $1,837.12	Professional		$1,412.07	$1,570.70	$1,837.12
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 $1,355.49 / $2,003.82 / $3,023.84	Professional		$1,355.49	$2,003.82	$3,023.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.10 / $1,752.36 / $2,713.41	Professional		$1,275.10	$1,752.36	$2,713.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,970.27 / $1,970.27 / $2,098.52	Professional		$1,970.27	$1,970.27	$2,098.52
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 $1,271.04 / $1,578.82 / $5,958.00	Professional		$1,271.04	$1,578.82	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,819.80 / $3,204.70	Professional		$15.00	$1,819.80	$3,204.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.48 / $1,778.17 / $2,902.84	Professional		$1,355.48	$1,778.17	$2,902.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,279.91 / $1,279.91 / $1,540.46	Facility		$1,279.91	$1,279.91	$1,540.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,217.58 / $1,305.51 / $1,540.46	Professional		$1,217.58	$1,305.51	$1,540.46
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 $1,273.43 / $1,715.72 / $2,741.97	Professional		$1,273.43	$1,715.72	$2,741.97