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 $1,551.73 / $1,689.64 / $2,016.23	Professional		$1,551.73	$1,689.64	$2,016.23
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 $1,263.46 / $1,939.92 / $2,746.66	Professional		$1,263.46	$1,939.92	$2,746.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.13 / $1,858.54 / $2,896.04	Professional		$1,398.13	$1,858.54	$2,896.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,157.79 / $2,157.79 / $2,299.86	Professional		$2,157.79	$2,157.79	$2,299.86
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 / $1,725.70 / $5,958.00	Professional		$1,426.00	$1,725.70	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,030.20 / $3,512.90	Professional		$10.00	$2,030.20	$3,512.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.96 / $1,876.47 / $2,896.04	Professional		$1,447.96	$1,876.47	$2,896.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,404.25 / $1,404.25 / $1,467.92	Facility		$1,404.25	$1,404.25	$1,467.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,335.73 / $1,432.34 / $1,467.92	Professional		$1,335.73	$1,432.34	$1,467.92
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 $1,359.09 / $1,883.44 / $3,015.76	Professional		$1,359.09	$1,883.44	$3,015.76