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 $1,469.66 / $1,623.13 / $1,949.90	Professional		$1,469.66	$1,623.13	$1,949.90
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 $1,222.85 / $1,830.99 / $2,659.62	Professional		$1,222.85	$1,830.99	$2,659.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.55 / $1,808.52 / $2,803.37	Professional		$1,353.55	$1,808.52	$2,803.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.12 / $2,089.12 / $2,226.30	Professional		$2,089.12	$2,089.12	$2,226.30
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 $1,354.92 / $1,670.48 / $5,958.00	Professional		$1,354.92	$1,670.48	$5,958.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $1,985.30 / $3,401.10	Professional		$10.00	$1,985.30	$3,401.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.96 / $1,814.41 / $2,803.37	Professional		$1,400.96	$1,814.41	$2,803.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,358.27 / $1,358.27 / $1,428.54	Facility		$1,358.27	$1,358.27	$1,428.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,292.20 / $1,385.44 / $1,428.54	Professional		$1,292.20	$1,385.44	$1,428.54
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 $1,315.22 / $1,895.34 / $2,918.09	Professional		$1,315.22	$1,895.34	$2,918.09