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 $1,318.09 / $1,427.55 / $1,760.20	Professional		$1,318.09	$1,427.55	$1,760.20
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 $1,104.66 / $1,649.83 / $2,396.71	Professional		$1,104.66	$1,649.83	$2,396.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.38 / $1,637.28 / $2,534.48	Professional		$1,221.38	$1,637.28	$2,534.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.55 / $1,887.55 / $2,011.84	Professional		$1,887.55	$1,887.55	$2,011.84
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 $1,289.36 / $1,505.64 / $3,225.60	Professional		$1,289.36	$1,505.64	$3,225.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,127.60 / $3,069.10	Professional		$10.00	$2,127.60	$3,069.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.59 / $1,638.18 / $2,534.48	Professional		$1,299.59	$1,638.18	$2,534.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,226.14 / $1,226.14 / $1,654.28	Facility		$1,226.14	$1,226.14	$1,654.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,166.50 / $1,250.66 / $1,654.28	Professional		$1,166.50	$1,250.66	$1,654.28
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 $1,220.49 / $1,674.20 / $2,594.64	Professional		$1,220.49	$1,674.20	$2,594.64