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 $1,342.61 / $1,523.04 / $1,907.05	Professional		$1,342.61	$1,523.04	$1,907.05
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 $1,198.92 / $1,782.63 / $2,580.19	Professional		$1,198.92	$1,782.63	$2,580.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.59 / $1,748.39 / $2,758.81	Professional		$1,346.59	$1,748.39	$2,758.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.96 / $2,081.96 / $2,183.56	Professional		$2,081.96	$2,081.96	$2,183.56
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 $1,295.86 / $1,643.93 / $5,958.00	Professional		$1,295.86	$1,643.93	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $2,343.30 / $3,398.80	Professional		$20.00	$2,343.30	$3,398.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.91 / $1,759.97 / $2,758.81	Professional		$1,388.91	$1,759.97	$2,758.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,336.71 / $1,336.71 / $1,485.68	Facility		$1,336.71	$1,336.71	$1,485.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,279.36 / $1,359.99 / $1,485.68	Professional		$1,279.36	$1,359.99	$1,485.68
United Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,391.00 / $6,228.00	Facility		$656.00	$2,391.00	$6,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,320.40 / $1,764.69 / $3,124.08	Professional		$1,320.40	$1,764.69	$3,124.08