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 $1,407.45 / $1,569.65 / $1,931.38	Professional		$1,407.45	$1,569.65	$1,931.38
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 $1,211.82 / $1,808.21 / $2,626.11	Professional		$1,211.82	$1,808.21	$2,626.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.62 / $1,843.08 / $2,852.83	Professional		$1,340.62	$1,843.08	$2,852.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,072.17 / $2,072.17 / $2,206.80	Professional		$2,072.17	$2,072.17	$2,206.80
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 $1,337.53 / $1,653.59 / $5,958.00	Professional		$1,337.53	$1,653.59	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,576.20 / $3,369.40	Professional		$8.00	$1,576.20	$3,369.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.67 / $1,846.98 / $2,866.00	Professional		$1,425.67	$1,846.98	$2,866.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,345.68 / $1,345.68 / $1,661.98	Facility		$1,345.68	$1,345.68	$1,661.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,280.49 / $1,372.59 / $1,661.98	Professional		$1,280.49	$1,372.59	$1,661.98
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 $1,316.26 / $1,857.67 / $2,884.16	Professional		$1,316.26	$1,857.67	$2,884.16