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 $1,487.24 / $1,701.58 / $2,138.61	Professional		$1,487.24	$1,701.58	$2,138.61
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 $1,344.56 / $2,028.81 / $2,919.77	Professional		$1,344.56	$2,028.81	$2,919.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.14 / $1,980.70 / $3,099.82	Professional		$1,510.14	$1,980.70	$3,099.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,325.39 / $2,325.39 / $2,437.44	Professional		$2,325.39	$2,325.39	$2,437.44
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 / $1,847.13 / $5,958.00	Professional		$1,426.00	$1,847.13	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,589.10 / $3,807.60	Professional		$15.00	$2,589.10	$3,807.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.66 / $1,992.53 / $3,099.82	Professional		$1,528.66	$1,992.53	$3,099.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,498.23 / $1,498.23 / $2,075.00	Facility		$1,498.23	$1,498.23	$2,075.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,433.29 / $1,525.09 / $2,075.00	Professional		$1,433.29	$1,525.09	$2,075.00
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 $1,465.85 / $1,919.23 / $3,080.47	Professional		$1,465.85	$1,919.23	$3,080.47