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 $1,528.34 / $1,710.02 / $2,103.66	Professional		$1,528.34	$1,710.02	$2,103.66
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 $1,318.97 / $1,970.97 / $2,859.77	Professional		$1,318.97	$1,970.97	$2,859.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.17 / $2,002.92 / $3,106.67	Professional		$1,459.17	$2,002.92	$3,106.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.01 / $2,254.01 / $2,401.12	Professional		$2,254.01	$2,254.01	$2,401.12
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 / $1,800.58 / $5,958.00	Professional		$1,426.00	$1,800.58	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,402.00 / $3,666.70	Professional		$15.00	$2,402.00	$3,666.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.73 / $2,002.92 / $3,107.97	Professional		$1,551.73	$2,002.92	$3,107.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,465.41 / $1,465.41 / $1,920.28	Facility		$1,465.41	$1,465.41	$1,920.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,394.15 / $1,494.72 / $1,920.28	Professional		$1,394.15	$1,494.72	$1,920.28
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 $1,481.19 / $2,005.49 / $3,147.63	Professional		$1,481.19	$2,005.49	$3,147.63