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 $1,459.70 / $1,711.32 / $2,147.94	Professional		$1,459.70	$1,711.32	$2,147.94
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 $1,354.41 / $2,034.11 / $2,936.43	Professional		$1,354.41	$2,034.11	$2,936.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.43 / $1,963.53 / $3,117.27	Professional		$1,520.43	$1,963.53	$3,117.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,348.67 / $2,348.67 / $2,457.10	Professional		$2,348.67	$2,348.67	$2,457.10
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 $1,426.00 / $1,857.53 / $5,958.00	Professional		$1,426.00	$1,857.53	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,211.30 / $3,835.80	Professional		$15.00	$2,211.30	$3,835.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.83 / $1,991.56 / $3,117.27	Professional		$1,532.83	$1,991.56	$3,117.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,506.02 / $1,506.02 / $1,574.04	Facility		$1,506.02	$1,506.02	$1,574.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,441.90 / $1,531.82 / $1,577.21	Professional		$1,441.90	$1,531.82	$1,577.21
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 $1,481.54 / $1,985.84 / $3,091.74	Professional		$1,481.54	$1,985.84	$3,091.74