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 $1,392.98 / $1,473.57 / $1,834.48	Professional		$1,392.98	$1,473.57	$1,834.48
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 $1,152.85 / $1,718.20 / $2,496.00	Professional		$1,152.85	$1,718.20	$2,496.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.92 / $1,676.89 / $2,628.64	Professional		$1,273.92	$1,676.89	$2,628.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,973.77 / $1,973.77 / $2,100.19	Professional		$1,973.77	$1,973.77	$2,100.19
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 $1,271.24 / $1,570.63 / $5,958.00	Professional		$1,271.24	$1,570.63	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,026.50 / $3,202.50	Professional		$10.00	$2,026.50	$3,202.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.53 / $1,709.47 / $2,628.64	Professional		$1,340.53	$1,709.47	$2,628.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,278.58 / $1,278.58 / $1,627.30	Facility		$1,278.58	$1,278.58	$1,627.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,217.06 / $1,304.16 / $1,627.30	Professional		$1,217.06	$1,304.16	$1,627.30
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 $1,234.18 / $1,713.62 / $2,736.93	Professional		$1,234.18	$1,713.62	$2,736.93